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Anterior tibial stress fractures can have a particularly poor prognosis and can require surgery. On radiographic imaging, these stress fractures are referred to as the "dreaded black line." [5] When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the tibia and displacement. [4]
A stress fracture in the front of your tibia is one of this injuries that frequently requires surgery to heal. A metal rod placed down the center of the tibia is a commonly performed surgery for ...
A stress fracture is a fatigue-induced bone fracture caused by repeated stress over time. Instead of resulting from a single severe impact, stress fractures are the result of accumulated injury from repeated submaximal loading, such as running or jumping. Because of this mechanism, stress fractures are common overuse injuries in athletes. [18]
Shin splint pain is described as a recurring dull ache, sometimes becoming an intense pain, along the inner part of the lower two-thirds of the tibia. [4] The pain increases during exercise, and some individuals experience swelling in the pain area. [5] In contrast, stress fracture pain is localized to the fracture site. [6]
It is most often due to physical trauma, like a bone fracture (up to 75% of cases) or a crush injury. [3] [6] It can also occur after blood flow returns following a period of poor circulation. [4] Diagnosis is clinical, based on symptoms, not a specific test. [5] However, it may be supported by measuring the pressure inside the compartment. [5]
Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to repetitive and unusual stress being applied to bone with normal elastic resistance, and insufficiency fracture resulting from normal or minimal stress on a bone with decreased elastic resistance are also described as "stress fractures". [1]