xray signs

Tibial Stress Fractures

Athletic / high impact exercises

First described in ballet dancers (Burrows 1956)

- tension side of bone / lateral side

- progression to complete fracture has been well documented in athletes

Point tenderness

- lateral aspect of tibia

Over time develop bony lump

Round or "D" shaped rather than crescenteric meniscus

- occupies > 70% of tibial surface

- 90% occur on lateral side

Uncommon

- 1:100

- usually presents in children & adolescents