Daher Mohammad, Aouad Dany, Kortbawi Rabih, Ayoubi Rami, Kortbawi Chawki
Orthopedics, Hotel dieu de france, Beirut, LBN.
Orthopedics, Saint George University Hospital Medical Center, Beirut, LBN.
Cureus. 2023 Jan 22;15(1):e34068. doi: 10.7759/cureus.34068. eCollection 2023 Jan.
Stress fractures are partial or complete bone fractures usually occurring in the weight-bearing bones resulting from repeated cycles of submaximal stress and bone remodeling. When the tibia is involved, it usually affects the proximal or middle third part of the bone. This pathology is most often seen in athletes or related to traumatic activities. This case describes a healthy, pre-menopausal, non-athlete woman presenting with a distal tibial atraumatic stress fracture. Diagnosis is usually confirmed by a CT scan or MRI since radiographs could often show no abnormalities. Treatment of such fractures is conservative in the majority of cases and when present, predisposing or causative factors should also be investigated and assessed.
应力性骨折是部分或完全性骨折，通常发生在承重骨，由反复的次最大应力循环和骨重塑引起。当累及胫骨时，通常影响胫骨近端或中三分之一处。这种病理情况最常见于运动员或与创伤性活动有关。本病例描述了一名健康的绝经前非运动员女性，出现胫骨远端非创伤性应力性骨折。诊断通常通过CT扫描或MRI来确认，因为X线片常常显示无异常。大多数情况下，此类骨折的治疗是保守的，并且如果存在，还应调查和评估诱发或致病因素。
