Simultaneous bilateral stress fractures of the tibiae: a study of four cases

ABSTRACT

The clinical syndrome of stress fractures can be difficult to identify and diagnosis may be overlooked especially if not suspected.With advances of radiographic techniques and radiostopic studies, it is now possible to diagnose these cases early.Simultaneous bilateral stress fractures were previously reported, though uncommon, to occur in the metatarsals, oscalcis, pubic bones and ribs.We present four cases with stress fractures of the tibia occuring simultaneously on both sides, which we think was not reported beforehand.The pathomechancis of injury, clinical data for diagnosis, and methods of early detection are mentioned