Aytekin Ebru, Kovalak Emrah
Department of Physical Medicine and Rehabilitation, İstanbul Training and Research Hospital, İstanbul, Turkey.
Department of Department of Orthopedics and Traumatology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Turk J Phys Med Rehabil. 2017 Jun 3;63(2):189-192. doi: 10.5606/tftrd.2017.88555. eCollection 2017 Jun.
Stress fractures typically occur, when cyclic loading to the healthy bone exceeds the normal carrying range capacity. These fractures are most commonly seen in athletes and military recruits who are engaged with intensive physical exercise in their daily lives. Stress fractures can also occur in a variety of conditions, in which the mineral content or the elasticity of bone is abnormal and defined as an insufficiency fracture. The tibia is the most frequent location for stress fractures, while bilateral tibial fractures are extremely rare. Herein, we report a repetitive spontaneous distal tibial insufficiency fracture in the right and left distal tibia and discuss predisposing factors, diagnosis, and treatment in the light of the current literature.
应力性骨折通常发生在对健康骨骼的循环负荷超过正常承载范围能力时。这些骨折最常见于日常生活中进行高强度体育锻炼的运动员和新兵。应力性骨折也可发生在多种情况下，即骨骼的矿物质含量或弹性异常，这种情况被定义为不全骨折。胫骨是应力性骨折最常见的部位，而双侧胫骨骨折极为罕见。在此，我们报告一例左右双侧胫骨远端反复自发性不全骨折，并根据当前文献讨论其诱发因素、诊断和治疗方法。
