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1
Devas M: Stress fracture of the tibia in athletes or “shin soreness.”. J Bone Joint Surg Br 40::227. ,1958. .
-
2
Hulkko A, Orava S: Stress fractures in athletes. .Int J Sports Med 8::221. ,1988. .
-
3
Belkin SC: Stress fractures in athletes. .Orthop Clin North Am 11::735. ,1980. .
-
4
Daffner RH: Stress fractures: current concepts. .Skeletal Radiol 2::221. ,1978. .
-
5
Okada K, Senma S, Abe E, et al: Stress fractures of the medial malleolus: a case report. .Foot Ankle Int 16::49. ,1995. .
-
6
Ariyoshi M, Nagata K, Hiraoka K, et al: Stress fracture of the medial malleolus. .Kurame Med J 44::233. ,1997. .
-
7
Hitchen PR, Lyons WJ: Fatigue fracture of the medial malleolus in a junior roller skater. .Aust N Z J Surg 66::265. ,1996. .
-
8
Orava S, Karpakka J, Taimela S, et al: Stress fracture of the medial malleolus. .J Bone Joint Surg Am 77::362. ,1995. .
-
9
Schils JP, Andrish JT, Piraino DW, et al: Medial malleolar stress fractures in seven patients: review of the clinical and imaging features. .Radiology 185::219. ,1992. .
-
10
Shelbourne KD, Fisher DA, Rettig AC, et al: Stress fractures of the medial malleolus. .Am J Sports Med 16::60. ,1988. .
-
11
Reider B, Falconiero R, Yurkofsky J: Nonunion of a medial malleolus stress fracture. .Am J Sports Med 21::478. ,1993. .
-
12
Eisele SA, Sammarco GJ: Fatigue fractures of the foot and ankle in the athlete. .J Bone Joint Surg Am 75::290. ,1993. .
-
13
Geslien GE, Thrall JH, Espinosa JL, et al: Early detection of stress fracture using 99mTC-polyphosphate. .Radiology 121::683. ,1976. .
-
14
Steinbronn DJ, Bennett GL, Kay DB: The use of magnetic resonance imaging in the diagnosis of stress fractures of the foot and ankle: four case reports. .Foot Ankle Int 15::80. ,1994. .
-
15
Giladi M, Milgrom C, Simkin A, et al: Stress fractures (identifiable risk factors). .Am J Sports Med 19::647. ,1991. .
Medial Malleolar Stress Fractures
Literature Review, Diagnosis, and Treatment
Medial malleolar stress fractures are relatively uncommon injuries that can be quite debilitating and disabling. This article discusses the symptoms, diagnostic aids, pathomechanics, and management of medial malleolar stress fractures. Using three cases, the authors illustrate nonoperative versus operative treatments in an athlete and the influence of an in-season versus an off-season injury. A percutaneous cannulated screw fixation procedure is described that allowed an athlete to return to competition 24 days after sustaining a displaced medial malleolar stress fracture. (J Am Podiatr Med Assoc 93(4): 292-297, 2003)
