title: Simultaneous bilateral tibial stress fractures in a 15-year-old milkman--a case report.
abstract: Although stress fractures are well recognized, their frequency, sequelae and complex aetiology are often under-rated. In this case report, we describe an unusual case of simultaneous bilateral stress fractures of the proximal tibial shaft in a young man, exposed to a sudden increase in unaccustomed joint loading due to his part-time occupation. The pathogenesis is discussed.
authors.affiliation: Department of Rheumatology, South Cleveland Hospital, Middlesbrough.
authors.forename: C A
authors.initials: CA
authors.lastname: Speed
authors.forename: J N
authors.initials: JN
authors.lastname: Fordham
authors.forename: J L
authors.initials: JL
authors.lastname: Cunningham
mesh_terms: D000293:Adolescent; D003612:Dairying; D015775:Fractures, Stress / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009784:Occupational Diseases; D011859:Radiography; D011877:Radionuclide Imaging; D013978:Tibial Fractures / Q000000981:diagnostic imaging; D016474:Weight-Bearing