posteromedial
Tibial Stress Fractures
Epidemiology
Athletic / high impact exercises
Aetiology
First described in ballet dancers (Burrows 1956)
- tension side of bone / lateral side
- progression to complete fracture has been well documented in athletes
Signs
Point tenderness
- lateral aspect of tibia
Over time develop bony lump
Arthroscopy
Portals
1. Anterolateral
Viewing portal
- 1cm lateral to patella tendon
- 1cm above joint line
- 1 cm below inferior pole patella
Problems
- too medial, in fat pad
- too high, limitation by patella, difficult to see posterior horns
- too low, damage anterior horn meniscus
Limitations
- PCL
- anterior horn LM