tibial

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

Issues

Complex / high energy injuries

Management of soft tissues critical

- restore length with external fixation

- await for swelling to reduce

Restoration of alignment & joint surface imperative

Outcome guarded