Left Tibia Stress Fracture
The patient was advised to decrease intensity at practice and to use ibuprofen as needed. She was also given a Velcro walking boot to wear that allowed support while weight bearing.
On three weeks follow up patient was doing well with very minimal pain upon jumping and running
This case emphasizes the message that in cases where there is suspicion of stress fracture, diagnostic ultrasound can provide a good alternative to more costly, poorly accessible, and invasive techniques such as MRI or bone scan scintigraphy.
This is a great case of the benefits of sports ultrasound for immediate diagnosis in patients presenting with musculoskeletal complaints. As the author stated a high index of suspicion is often needed in these cases. In any athlete with a stress fracture, menstrual cycle regularity (for females) and screening for eating disorders should be assessed.
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