Progression of stress to full thickness fracture

Case contributed by Dr Chris O'Donnell

Presentation

Pain over the lateral ankle for some time. No history of trauma. Recent worsening of pain.

Patient Data

Age: 50
Gender: Female

Subtle transverse band of sclerosis in the distal fibula with overlying soft tissue swelling on the original imaging. Patient continued weight-bearing. Subsequent x-ray shows full thickness fracture with displacement and subtle periosteal new bone formation. Note lucency of bone distal to the fracture line.

Case Discussion

Stress fractures represent defects in normal bone due to excessive forces and are often not full thickness or just cracks. If those forces are not reduced then full thickness fracture can result as in this case.

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Case information

rID: 38308
Case created: 14th Jul 2015
Last edited: 11th Sep 2016
Inclusion in quiz mode: Included

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