Operative Techniques in Sports Medicine
Volume 17, Issue 2 , Pages 112-114 , April 2009

Fibula Stress Fractures: A Treatment Review

  • Iftach Hetsroni, MD

      Affiliations

    • Orthopedic Department, Meir General Hospital, Kfar Saba, Israel
    • The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Ribstein Sports Medicine and Research Center, Wingate Institute, Netanya, Israel
    • Corresponding Author InformationAddress reprint requests to Iftach Hetsroni, MD, Orthopedic Department, Meir General Hospital, Tsharnichovski St 59, Kfar Saba 44281, Israel
    • ,
  • Gideon Mann, MD

      Affiliations

    • Orthopedic Department, Meir General Hospital, Kfar Saba, Israel
    • The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Ribstein Sports Medicine and Research Center, Wingate Institute, Netanya, Israel

References 

  1. Goh JC, Mech AM, Lee EH, et al. Biomechanical study of the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop Relat Res. 1992;279:223–228
  2. Lambert KL. The weight-bearing function of the fibula. J Bone Joint Surg Am. 1971;53:507–513
  3. Takebe K, Nakagawa A, Minami H, et al. Role of the fibula in weight-bearing. Clin Orthop Relat Res. 1984;184:289–292
  4. Wang Q, Whittle M, Cunningham J, et al. Fibula and its ligaments in load transmission and ankle joint stability. Clin Orthop Relat Res. 1996;330:261–270
  5. Al-Kashmiri A, Delaney JS. Case report: Fatigue fracture of the proximal fibula with secondary common peroneal nerve injury. Clin Orthop Relat Res. 2007;463:225–228
  6. Symeonides PP. High stress fractures of the fibula. J Bone Joint Surg Br. 1980;62:192–193
  7. Lehman TP, Belanger MJ, Pascale MS. Bilateral proximal third fibular stress fractures in an adolescent female track athlete. Orthopedics. 2002;25:329–332
  8. Lacroix H, Keeman JN. An unusual stress fracture of the fibula in a long-distance runner. Arch Orthop Trauma Surg. 1992;111:289–290
  9. Blair WF, Hanley SR. Stress fracture of the proximal fibula. Am J Sports Med. 1980;8:212–213
  10. DiFiori JP. Stress fracture of the proximal fibula in a young soccer player: A case report and a review of the literature. Med Sci Sports Exerc. 1999;31:925–928
  11. Devas M, Sweetnam R. Stress fractures of the fibula. J Bone Joint Surg Br. 1956;38B:818
  12. Kottmeier SA, Hanks GA, Kalenak A. Fibular stress fracture associated with distal tibiofibular synostosis in an athlete (A case report and literature review). Clin Orthop Relat Res. 1992;281:195–198
  13. Jend HH, Ney R, Heller M. Evaluation of tibiofibular motion under load conditions by computed tomography. J Orthop Res. 1985;3:418
  14. Rome K, Handoll HH, Ashford R. Interventions for preventing and treating stress fractures and stress reactions of bone of the lower limbs in young adults. Cochrane Database Syst Rev. 2005;18:CD000450
  15. Brand JC, Brindle T, Nyland J. Does pulsed low intensity ultrasound allow early return to normal activities when treating stress fractures? (A review of one tarsal navicular and eight tibial stress fractures). Iowa Orthop J. 1999;19:26–30
  16. Holmes GB. Treatment of delayed unions and nonunions of the proximal fifth metatarsal with pulsed electromagnetic fields. Foot Ankle Int. 1994;15:552–556
  17. Benazzo F, Mosconi M, Beccarisi G, et al. Use of capacitive coupled electric fields in stress fractures in athletes. Clin Orthop Relat Res. 1995;310:145–149

PII: S1060-1872(09)00061-6

doi: 10.1053/j.otsm.2009.05.005

Operative Techniques in Sports Medicine
Volume 17, Issue 2 , Pages 112-114 , April 2009

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