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Sports Medicine
intermediate
X-Type

Tibial Stress Fractures

Bone Stress Injuries

A 22-year-old female middle-distance runner presents with a 6-week history of anterior leg pain that is worse with running and initially improved with rest but now persists at rest. She recently increased her training volume by 40% for an upcoming competition. On examination, there is focal tenderness over the anterior tibial crest at the junction of middle and distal thirds. Plain radiographs are normal. She has a BMI of 18.5 and reports oligomenorrhoea. Regarding tibial stress fractures in athletes:

Mark each as TRUE or FALSE

A

Tibial stress fractures are the most common stress fractures in athletes, accounting for approximate...

B

Anterior tibial cortex stress fractures (the "dreaded black line") are high-risk stress fractures lo...

C

All tibial stress fractures are low-risk injuries with excellent prognosis; anterior cortex stress f...

D

MRI is the gold standard for stress fracture diagnosis with near 100% sensitivity and specificity; i...

E

The female athlete triad (now part of Relative Energy Deficiency in Sport - RED-S) comprises low ene...

Answer the questions to see explanations

Click T (True) or F (False) for each option