Diagnosis and treatment of medial tibial stress fractures

How can they be diagnosed and treated effectively and timely?

Medial tibial stress fractures (MTSF) occur with lengths of tibial tenderness up to ten cm. Although the hop test seems to be a sensitive tool to establish the presence of an MTSF, the fulcrum test does not appear to have an association with the presence of stress fractures. Moreover, self-reported pain scores are not predictive of medial tibial stress fracture. These findings were derived from a prospective study conducted by an Israeli research group among military personnel.


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