KMID : 1207720090010030161
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Clinics in Orthopedic Surgery 2009 Volume.1 No. 3 p.161 ~ p.164
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Stress Fracture of the Proximal Fibula in Military Recruits
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Hong Seoung-Hwan
Chu In-Tak
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Abstract
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Background: We wanted to report on stress fracture of the proximal fibula and to suggest the pathomechanism of this fracture.
Methods: Between April 2004 through April 2005, the military recruits who complained of leg pain during the 6 weeks basic training in the Republic of Korea Marine Corps education and training group were evaluated according to their clinical manifestations and plain radiographs.
Results: Twelve recruits of 635 recruits who complained leg pain were diagnosed as having fibular stress fracture. Eleven cases (10 recruits) appeared at the junction of the proximal and middle 1/3 of the fibula and 2 cases (2 recruits) were in the middle 1/3 of the fibula, as assessed radiologically. Tenderness was the most reliable clinical manifestation. All the fractures occurred after repetitive walking or jumping in a squatting position. Conservative treatments that included bed rest, immobilization and non-steroidal anti-inflammatory drugs administration according to the symptom severity were satisfactory.
Conclusions: Proximal fibular stress fracture is not rare in military recruits. The shearing force on the proximal fibula and the repetitive stress by walking or jumping in a squatting position contribute to the stress fracture of the proximal fibula.
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KEYWORD
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Proximal Fibula, Stress fracture, Military recruits
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