Non-union of a midshaft anterior tibial stress fracture: a frequent complication.
We report a case of non-union of a midshaft anterior cortex tibial stress fracture and review the literature concerning this pathological entity. This is a relatively rare clinical form of tibial stress fracture which often results in delayed union, non-union or complete fracture. Initial management is as for a conventional stress fracture, associated in some cases, according to certain authors, with pulsing electromagnetic field physiotherapy. If after 4-6 months no sign of union is present, surgical management is indicated, in the form of excision of the fracture site with or without bone graft.
Mabit
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Unité Fonctionnelle de Pathologie Traumatique du Sport, Hôpital Universitaire Dupuytren, Limoges, France.
Pécout
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D000328:Adult; D001490:Basketball / Q000293:injuries; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology*