Proximal fibular stress fracture in adolecent soccer player. A case report

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Francesco Pogliacomi
Alberto Longhi
Umberto Ferrari
Paolo Schiavi
Alessio Pedrazzini
Enrico Vaienti
Francesco Ceccarelli
Filippo Calderazzi


fibula, stress, fracture, sport, adolescence


Fibular fractures are the third most common stress fractures in children and adolescents. Proximal fibular location is a very rare finding, with few reports in the literature and, frequently, careful investigations before a definitive diagnosis could be necessary. The authors report a case of an adolescent 13 years old soccer player with a proximal fibular fracture that was initially underestimated and misdiagnosed and ultimately confirmed as a stress lesion by MRI.


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1) Changstrom BG, Brou L, Khodaee M, Braund C, Comstock RD. Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med 2015 Jan; 43(1): 26-33.
2) Daffner RH, Pavlov H. Stress fractures: current concepts. AJR Am J Roentgenol 1992; 159: 245-52.
3) Breithaupt. Zur pathologie des menschlichen fubes. MedZeitg 1855; 24: 169-77.
4) Orava S, Jormakka E, Hulkko A. Stress fractures in young athletes. Arch Orthop Trauma Surg 1981; 98(4): 271-4.
5) Blair WF, Hanley SR. Stress fracture of the proximal fibula. Am J Sports Med 1980 May-Jun; 8(3): 212-3.
6) Dalton SE. Overuse injuries in adolescent athletes. Sports Med 1992; 13: 58-70.
7) Orava S, Puranen J. Exertion injuries in adolescent athletes. Br J Sports Med 1978; 12: 4-10.
8) Lacroix H, Keeman JN. An unusual stress fracture of the fibula in a long-distance runner. Arch Orthop Trauma Surg 1992; 111(5): 289-90.
9) Di Fiori JP. Stress fracture of the proximal fibula in a young soccer player: a case report and a review of the literature. Medicine & Science in Sports & Exercise July 1999; 31(7): 925-8.
10) Hong SH, Chu IT. Stress fracture of the proximal fibula in military recruits. Clin Orthop Surg 2009 Sep; 1(3): 161-4.
11) Bennell KL, Malcolm SA, Thomas SA, et al. The incidence and distribution of stress fracture in the competitive track and field athletes. Am J Sports Med 1996; 24: 211–7.
12) Devas MB. Stress fractures in children. J Bone Joint Surg Br 1963; 45: 528–41.
13) Sarpong NO, Levitsky M, Held M, Coury J, Greisberg J. Isolated fibular stress fractures: radiographic parameters. Foot an ankle surgery 2020; 26: 935-8.
14) Woods M, Kijowski R, Sanford M, Choi J, De Smet A. Magnetic resonance imaging findings in patients with fibular stress injuries. Skeletal Radiol 2008 Sep; 37(9): 835-41.
15) Diehl JJ, Best TM, Kaeding CC. Classification and return-to-play considerations for stress fractures. Clin Sports Med 2006 Jan; 25(1): 17-28.
16) Arendt EA, Griffiths HJ. The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes. Clin Sports Med 1997; 16: 291–306.

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