![]() Following the protocols given to you by your provider, will help to ensure a safe and speedy recovery. Although it can be hard to slow down with a tibial stress fracture, going back to activity ‘too quickly’ can put you at risk for a larger, harder-to-heal fracture, requiring more down time or even surgery. More serious stress fractures can take longer. The vast majority of stress fractures affect the lower extremities (femur, tibia, fibula and feet), but any bone can sustain one, says Dr. In most cases, it takes 6 to 8 weeks for a stress fracture to heal, when surgery is not required. To reduce stress on your leg, protective footwear or crutches may be necessary. A conservative method of treating delayed union stress fractures of the anterior tibial cortex is described using modified rest and a pneumatic lower leg brace. Nonsteroidal anti-inflammatory medicines may be suggested to help relieve pain and swelling. Once a tibial stress fracture is confirmed, your provider will discuss best treatment options based on the type of stress fracture (exact location on the bone) and your activity level. It is not uncommon for other forms of imaging, including bone scans, CT scans and MRI to be ordered if your provider suspects there is a fracture present, but not visible on X-ray. In some cases, the signs of a stress fracture may not show up on an X-ray for as long as four or five weeks or may never show up. High impact sports such as running, gymnastics, and volleyball can increase the risk of stress fractures. Stress fractures are normally caused by overtraining or overuse. Other contributors may include repeated stress on the bone from pounding or impact on a hard surface, such as running on concrete. ![]() Instability of the leg and occasional loss of feeling in the foot can also be present. In many tibia fractures, the smaller bone in the lower leg (fibula) is broken as well. Motor vehicle collisions, for example, are a common cause of tibial shaft fractures. It typically takes a major force to cause this type of broken leg. The pain will get progressively worse as more weight is placed on it, eventually hurting while walking or even when not putting any weight on it at all. A tibial shaft fracture occurs along the length of the bone, below the knee and above the ankle. Swelling may be present at the fracture site. Individuals suffering from a tibial stress fracture typically feel an aching or burning (localized) pain somewhere along the bone. Symptoms are very similar to ‘shin splints’ with gradual onset pain on the inside of the shin. A tibial stress fracture is a hairline fracture of the tibia bone in the lower leg caused by overuse or repetitive stress. It is the most commonly fractured long bone in the body. This procedure is an excellent alternative treatment for those fractures that have failed nonsurgical treatment.The tibia (shinbone) is the inner and larger of two bones between the knee and ankle. Intramedullary nailing of the tibia for chronic stress fracture has a high union rate, allows for a low complication rate, and allows for an early return to competitive sports. This fracture healed with nonoperative treatment. Another patient sustained a traumatic fracture of the distal tibia 1 year after intramedullary nailing of the tibial stress fracture. One patient developed bursitis at the tibial nail insertion site that was resolved with a steroid injection. At last follow-up, all patients had full range of motion at the knee and ankle joints and were satisfied with the results. The mean duration for return to sports after surgery was 4 months. Clinical and radiological union occurred at a mean of 2.7 and 3 months, respectively. Patients had experienced symptoms for a mean duration of 12 months. All patients had failed nonoperative treatment, including rest, activity modification, use of an orthosis, and low-intensity ultrasound stimulation, for a minimum of 4 months. ![]() Seven of the fractures occurred in male athletes, whereas 4 occurred in female athletes. The mean age of the patients at the time of stress fracture diagnosis was 17 years. These patients were followed for a mean duration of 17 months. Seven collegiate-level athletes with 11 chronic anterior midtibial stress fractures were treated with reamed intramedullary nailing between 19. Treatment for patients with this condition typically involves an initial period of rest from weight bearing. The use of a reamed intramedullary nail for a chronic anterior tibial stress fracture is a safe and effective treatment for an athlete. How to manage lower extremity stress fractures. A chronic anterior midtibial stress fracture is a serious, difficult-to-treat injury that can adversely affect an athlete's career. ![]()
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