intramedullary nail tibia stress fracture

Online ahead of print. Anterior tibial stress fractures treated with anterior tension band plating in high-performance athletes. Careers. Please enable it to take advantage of the complete set of features! doi: 10.1002/14651858.CD010606.pub2. 2022 Mar 5;23(1):209. doi: 10.1186/s12891-022-05161-8. 2021 Sep 20;56(3):386-391. doi: 10.1007/s43465-021-00523-1. Anterior midtibial stress fractures are an important clinical problem for patients engaged in high-intensity military activities or athletic training activities. PMC The https:// ensures that you are connecting to the This site needs JavaScript to work properly. government site. PMC government site. A plate will be more effective than an IM nail in preventing the opening of a simulated anterior midtibial stress fracture from tibial bending. Duan X, Al-Qwbani M, Zeng Y, Zhang W, Xiang Z. Cochrane Database Syst Rev. and transmitted securely. Standard surgical techniques for intramedullary nailing are appropriate, but venting the distal tibia before reaming is appropriately considered as when reaming the length of any intact long bone. doi: 10.5435/00124635-200600001-00030. Clinical relevance: Although functional results varied, all patients reported improvement in their symptoms and could return to limited running. Background: Front Pediatr. Post-operative radiographs with tibial nail, anterior cortical thickening, and multiple linear cortical defects. and transmitted securely. The https:// ensures that you are connecting to the HHS Vulnerability Disclosure, Help large external fixation system or femoral distractor. Brukner P, Fanton G, Bergman AG, Beaulieu C, Matheson GO. With newer nail designs and attention to technique, nailing can be extended to both proximal and distal extraarticular fractures. Chung JS, Sabatino MJ, Fletcher AL, Ellis HB. Tibial stress fracture in a male ballet dancer: a case report. Advantages of nails include shorter operative times, improved postoperative function, and as much as a 2.5-fold reduction in wound complications. The relevance of the number of distal locking planes and nail to canal ratio in bone healing after intramedullary nailing in tibial shaft fractures. This site needs JavaScript to work properly. FOIA official website and that any information you provide is encrypted Bookshelf Chronic anterior midtibial stress fractures in athletes treated with reamed intramedullary nailing. Accessibility Interviews were used to survey the patient's history and outcome. Summary: Tibial shaft fractures distal to total knee arthroplasty are rare, but they are likely to become more common with the increasing number of arthroplasty procedures being performed. Results: doi: 10.1002/14651858.CD008241.pub2. Recurrent or recalcitrant stress fractures can be career-ending because they require lengthy nonoperative treatment. 1995;5(1):58-61; discussion 61-2. doi: 10.1097/00042752 . are associated with an increased risk of fracture malreduction. Unable to load your collection due to an error, Unable to load your delegates due to an error. government site. Disclaimer, National Library of Medicine Hypothesis: The use of a reamed intramedullary nail for a chronic anterior tibial stress fracture is a safe and effective treatment for an athlete. 'Low' quality evidence suggests that the Ender nail has poorer results in terms of re-operation and malunion than an interlocking nail. Varner KE, Younas SA, Lintner DM, Marymont JV. Internal fixation is appropriate in a small minority of cases when other treatments have failed. Hua H, Zhang L, Guo Z, Zhong W, Chen J, Wang S, Guo J, Wang X. BMC Musculoskelet Disord. Reamed intramedullary nailing has, however, a lower incidence of implant failure than unreamed nailing. Selection criteria: A case report. 8 Pain in the knee is a frequent complication in 22% to 71% of the . 8600 Rockville Pike Clipboard, Search History, and several other advanced features are temporarily unavailable. However, the right tibia subsequently developed nonunion. Randomised and quasi-randomised controlled clinical studies evaluating different methods and types of intramedullary nailing for treating tibial shaft fractures in adults were included. -, Chang PS, Harris RM. Internal fixation is appropriate in a small minority of cases w J Orthop Case Rep. 2020 Dec;10(9):114-117. doi: 10.13107/jocr.2020.v10.i09.1928. doi: 10.1002/14651858.CD004961.pub4. J Am Acad Orthop Surg. Fractures located in the middle two thirds of the tibia that are amenable to nailing include transverse, short oblique, spiral . The role of prophylactic intramedullary nailing in this difficult fracture is discussed. The clinical decision, after failure of conservative treatment, was made to treat the patient with tibial intramedullary nailing. When nonoperative treatment has failed, intramedullary (IM) nail and plate fixation are 2 surgical options used to arrest the progression of a fatigue fracture and allow bone healing. Even after guide-wire insertion, further correction of alignment may be needed to avoid deformity. Please enable it to take advantage of the complete set of features! Front Pediatr. An official website of the United States government. The site is secure. Would you like email updates of new search results? tibia intramedullary nailing system. Use of a Minimally Invasive Traction Repositor versus Conventional Manual Traction for the Treatment of Tibial Fractures: A Comparative Study from a Tertiary Hospital in China. Tension band plating of an anterior tibial stress fracture nonunion in an elite athlete, initially treated with intramedullary nailing: a case report. FOIA 2005 Jan;33(1):124-30. doi: 10.1177/0363546504266479. sharing sensitive information, make sure youre on a federal -, Snyder RA, Koester MC, Dunn WR. Recurrent or recalcitrant stress fractures can be career-ending because they require lengthy nonoperative treatment. eCollection 2018 Aug. 2014 Apr;37(4):e332-8. 2000 Feb;82(2):213-8. doi: 10.2106/00004623-200002000-00007. Objectives: 2021 Sep;50(9):763-774. doi: 10.1007/s00132-021-04139-z. Madhuri V, Dutt V, Gahukamble AD, Tharyan P. Evid Based Child Health. High-risk stress fractures:Evaluation and treatment. official website and that any information you provide is encrypted Intramedullary nailing for tibial shaft fractures in adults. Case report: Federal government websites often end in .gov or .mil. doi: 10.1002/14651858.CD008241.pub2. Hypothesis: A plate will be more effective than an IM nail in preventing the opening of a simulated anterior midtibial stress fracture from tibial bending. eCollection 2018 Aug. Komatsu J, Mogami A, Iwase H, Obayashi O, Kaneko K. Arch Orthop Trauma Surg. Careers. 2019 Oct 4;7:397. doi: 10.3389/fped.2019.00397. Interventions for treating fractures of the distal femur in adults. Cochrane Database Syst Rev. Pre-operative radiographs with anterior cortical thickening and multiple linear cortical defects. While inconclusive, the evidence from a subgroup analysis suggests that reamed nailing is more likely to reduce the incidence of major re-operations related to non-union in closed fractures than in open fractures. Effectiveness of Nail Dynamization in Delayed Union of Tibial Shaft Fractures: Relationship Between Fracture Morphology, Callus Diameter, and Union Rates. Accessibility Epub 2017 Sep 18. Unable to load your collection due to an error, Unable to load your delegates due to an error. The nail should advance into the medullary canal with each tap of the hammer. optional: large sharp periarticular clamps or Weber-style clamps. Several extraarticular fractures of the distal tibia can be treated with intramedullary nailing. -, Varner KE, Younas SA, Lintner DM, Marymont JV. If resistance is encountered, it may be caused by the wrong entry point, or the tip of the nail hitting the cortex of the distal fragment. with open physes, patients with very small medullary canals, or a. history of tibial osteomyelitis. official website and that any information you provide is encrypted The purpose of this article is to report different outcomes of the same primary . HHS Vulnerability Disclosure, Help Intramedul lary tibial nailing should be considered for treating chronic stress fractures of the midanterior tibia that are recalcitrant to nonoperative therapy in a selected group of patients. Duan X, Al-Qwbani M, Zeng Y, Zhang W, Xiang Z. Cochrane Database Syst Rev. FOIA Epub 2013 Jan 19. Clipboard, Search History, and several other advanced features are temporarily unavailable. The evidence was dominated by one large multicentre trial of 1319 participants. The site is secure. When . official website and that any information you provide is encrypted Tension band plating of an anterior tibial stress fracture nonunion in an elite athlete, initially treated with intramedullary nailing: a case report. Schmidt AH, Finkemeier CG, Tornetta P 3rd. 1 The use of intramedullary nails for distal tibia fractures has been associated with a 12%-23% incidence of malunion, 1 but use of the suprapatellar insertion technique reduces this rate to 3.8% . Am J Sports Med. Reduction is an essential part of intramedullary nailing. Although intramedullary nailing can achieve satisfactory tibiotalocalcaneal arthrodesis, the stress risers in the tibial diaphyses do result in a stress reaction in a significant number . Objectives: To assess the effects (benefits and harms) of different methods and types of intramedullary nailing for treating tibial shaft fractures in adults. J Med Case Rep. 2018 Jun 29;12(1):183. doi: 10.1186/s13256-018-1718-8. 'Moderate' quality evidence suggests that there is no clear difference in the rate of major re-operations and complications between reamed and unreamed intramedullary nailing. Please enable it to take advantage of the complete set of features! Study design: Case series; Level of evidence, 4. Shaner AC, Spiker AM, Goolsby MA, Kelly BT, Helfet DL. Pre-operative radiographs with anterior cortical. The mean FOD values for all plates were 28% to 46% less than those for the saw cut alone. Clin Sports Med. Intramedullary Nailing for Chronic Tibial Stress Fractures: A Review of Five Cases - Paul S. Chang, Robert M. Harris, 1996 2014 Jul 29;2014(7):CD009076. The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete J Orthop Case Rep. 2020 Dec;10(9):114-117. doi: 10.13107/jocr.2020.v10.i09.1928. However, it found significantly more implant failures in the one distal screw group (13/22 versus 1/20; RR 11.82, 95% CI 1.70 to 82.38).One trial found no statistically significant differences in functional outcomes or anterior knee pain at three year follow-up between the transtendinous approach and the paratendinous approach for nail insertion. Controlled laboratory study. Am J Sports Med. 2014 Dec;9(4):753-826. doi: 10.1002/ebch.1987. doi: 10.1002/14651858.CD009076.pub2. Federal government websites often end in .gov or .mil. sharing sensitive information, make sure youre on a federal sharing sensitive information, make sure youre on a federal Intramedullary nails; Upper limb Background: A chronic anterior midtibial stress fracture is a serious, difficult-to-treat injury that can adversely affect an athlete's career. Introduction: MeSH The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete. An official website of the United States government. 2007 Mar;21(3):172-7. doi: 10.1097/BOT.0b013e3180332dd2. Intramedullary nailing of the tibia for chronic stress fracture has a high union rate, allows for a low complication rate, and allows for an early return to competitive sports. -, Plasschaert VF, Johansson CG, Micheli LJ. Plate fixation was superior to IM nail fixation in limiting the opening of a simulated midtibial stress fracture, and anterior-posterior placement of the plate was an important variable for this construct. eCollection 2019. Intramedullary nailing is commonly used for treating fractures of the tibial shaft. Before We report the case of a 28-year-old male semiprofessional basketball player who presented to an outside hospital with nonhealing stress fractures for which he underwent tibial intramedullary nailing (IMN). The .gov means its official. Am J Sports Med. J Hip Preserv Surg. There were no statistically significant differences between the two devices in the other reported secondary outcomes of nonunion, deep infection, and implant failure.One trial found a lower re-operation rate for an expandable nail when compared with an interlocking nail (1/27 versus 9/26; RR 0.11, 95% CI 0.01 to 0.79). Cochrane Database Syst Rev. Pesciallo CA, Garabano G, Alamino LP, Dainotto TL, Gaggiotti S, Del Sel H. Indian J Orthop. Zbeda RM, Sculco PK, Urch EY, Lazaro LE, Borens O, Williams RJ, Lorich DG, Wellman DS, Helfet DL. Before 2015 Aug 13;2015(8):CD010606. Stress fractures are common overuse injuries among athletes and military recruits involved in repetitive activities such as running and jumping (Bennell et al. There were very few data on functional outcomes; and often incomplete data on re-operations. Kharazmi M, Michalsson K, Hallberg P, Schilcher J. Eur J Orthop Surg Traumatol. Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention. 2005;33:10716. See this image and copyright information in PMC. Would you like email updates of new search results? Orthopade. HHS Vulnerability Disclosure, Help Intramedullary nailing for tibial shaft fractures in adults. Bookshelf Hypothesis: He presented . Disclaimer, National Library of Medicine J Bone Joint Surg Am. Am J Sports Med. 2018 Aug 8;5(3):312-318. doi: 10.1093/jhps/hny019. Accessibility FOIA Keywords. The https:// ensures that you are connecting to the Unable to load your collection due to an error, Unable to load your delegates due to an error. Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. patient supine with feet at the end of the bed, small bump under ipsilateral thigh. Before Recurrent or recalcitrant stress fractures can be ca reer-ending because they requi. Abstract. Am J Sports Med. She was able to return to full unrestricted activities, including high-level sports participation. Pekmezci M, McDonald E, Buckley J, Kandemir U. Federal government websites often end in .gov or .mil. J Orthop Trauma. The osteosynthesis of a tibial diaphyseal fracture with a locked intramedullary nail (LIN) is recommended by various authors due to the high union rates, low infection and deformity rates, and good functional results. Chronic Bilateral Tibial Stress Fractures with Valgus Treated with Bilateral Intramedullary Nailing: A Case Report. HHS Vulnerability Disclosure, Help Epub 2015 Mar 31. Chronic anterior midtibial stress fractures in athletes treated with reamed intramedullary nailing. Shaner AC, Spiker AM, Goolsby MA, Kelly BT, Helfet DL. Fresh-frozen human tibias were loaded by applying a pure bending moment in the sagittal plane. Anterior stress fractures of the tibial shaft are tension-sided high-risk stress fractures with significant risks of delayed union, nonunion, and fracture propagation. Epub 2005 May 11. This chapter describes the evolution of the nails that are used to treat fractures in upper limb bones and systematically describes the pros and cons of each device. Chronic tibial stress fracture is an unusual condition that is primarily seen in athletes and military personnel. The aim of this study was to report a case of tension band plating of an anterior tibial stress fracture nonunion, treated previously with intramedullary nailing. When non-operative treatment fails, the optimal surgical treatment is controversial. Disclaimer, National Library of Medicine 2022 Sep 23;18:945-954. doi: 10.2147/TCRM.S379135. 1996; Borden, Osbahr, and Jmenez 2001).Stress fractures comprise as many as 10% of all sport injuries, with the tibia accounting for approximately 50% of diagnoses in athletes (Bennell et al. The .gov means its official. Bookshelf Mid-diaphyseal anterior tibial stress fractures can be debilitating injuries. eCollection 2022 Mar. Disclaimer, National Library of Medicine These fractures are one of the most common long bone fractures in adults. Cruz AS, de Hollanda JP, Duarte A Jr, Hungria Neto JS. Intramedullary nailing for tibial shaft fractures in adults. and transmitted securely. government site. Would you like email updates of new search results? Before We present an 18-year-old collegiate bound athlete who sustained a tibial stress fracture with multiple cortical defects. doi: 10.1097/BOT.0000000000000698. The https:// ensures that you are connecting to the Keywords: Intramedullary Nail and Plate Combination Fixation for Complex Distal Tibia Fractures: When and How? Intramedullary fixation is valuable and appropriate for the majority of tibial fractures. Epidemiology. 2014;69(4):234-40. doi: 10.6061/clinics/2014(04)03. An official website of the United States government. Careers. A complete posterior tibial stress fracture that occurred during a middle-distance running race: a case report. This article describes the use of intramedullary rodding as a treatment for an anterior tibial stress fracture in a patient with high functional demands: a professional ballet dancer. 1996;24:68892. Diaphyseal stress fractures of the tibia usually can be managed by nonoperative means. Recurrent or recalcitrant stress fractures can be ca reer-ending because they require . 2019 Oct 4;7:397. doi: 10.3389/fped.2019.00397. 2006;25:3752. Two-year post-operative radiographs with tibial. Forced hammering may cause fracture comminution, nail incarceration, or twisting of the nail. Diaphyseal stress fractures of the tibia usually can be managed by nonoperative means. Bethesda, MD 20894, Web Policies Case report: ischial stress fracture non-union in a college football player. We performed a retrospective review of five patients who underwent intramedullary tibial nailing for recalcitrant stress fractures at Womack Army Medical Center, Ft. Bragg, North Carolina, from 1991 to 1994. When nonoperative treatm. official website and that any information you provide is encrypted Both intramedullary nails were removed and a tension plate was applied with an autologous iliac crest graft on the right tibia. These fractures are one of the most common long bone fractures in adults. HSS J. Griffin XL, Parsons N, Zbaeda MM, McArthur J. Cochrane Database Syst Rev. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures. IM nails were tested without locking screws, with a proximal screw only, and with proximal and distal screws. J Hip Preserv Surg. Tension band plating of an anterior tibial stress fracture nonunion in an elite athlete, initially treated with intramedullary nailing: a case report. The percentage FOD reductions for all plate constructs and the unlocked IM nail were significantly less with a 50% saw cut depth. Request PDF | Anterior Tibial Stress Fractures - Intramedullary Nail versus Anterior Tension Band Plating | Lower extremity stress fractures are common overuse injuries in endurance athletes. Bethesda, MD 20894, Web Policies When nonoperative treatment has failed, intramedullary (IM) nail and plate fixation are 2 surgical options used to arrest the progression of a fatigue fracture and allow bone healing. 2015 Feb;29(2):98-104. doi: 10.1097/BOT.0000000000000195. Am J Sports Med. Intramedullary nails for extracapsular hip fractures in adults. A review of five cases. 2012 Jan 18;1:CD008241. A meta-analysis of reamed versus unreamed intramedullary nailing for the treatment of closed tibial fractures. c-arm fluoroscopy. To assess the effects (benefits and harms) of different methods and types of intramedullary nailing for treating tibial shaft fractures in adults. We believe intramedullary tibial nailing should be considered for treating chronic stress fractures of the midanterior tibia that are recalcitrant to nonoperative therapy in a selected group of patients. Case report: ischial stress fracture non-union in a college football player. Clinics (Sao Paulo). Anterior stress fractures of the tibial shaft are tension-sided high-risk stress fractures with significant risks of delayed union, nonunion, and fracture propagation. 2000;8:34453. Epub 2018 Sep 7. J Med Case Rep. 2018 Jun 29;12(1):183. doi: 10.1186/s13256-018-1718-8. Background: Leg pain in athletes is a common condition and is often related to tibial stress fracture. Both quasi-randomised trials were at high risk of selection bias. The fracture must be reduced to allow guide-wire placement, during reaming, and during nail insertion. Conclusion: Bethesda, MD 20894, Web Policies MeSH sharing sensitive information, make sure youre on a federal Search methods: Clin Orthop Relat Res. Orthopedics. Nine randomised and two quasi-randomised clinical trials, involving a total of 2093 participants with 2123 fractures, were included. : "The Effect of Social Deprivation on Fracture-Healing and Patient-Reported Outcomes Following Intramedullary Nailing of Tibial Shaft Fractures" The nail design determines the number, location, and orientation of distal interlocking screws. Keywords: An official website of the United States government. J Orthop Trauma. Zbeda RM, Sculco PK, Urch EY, Lazaro LE, Borens O, Williams RJ, Lorich DG, Wellman DS, Helfet DL. Equipment. The site is secure. In 7 of 12 patients, > or =2 mm of cortical hypertrophy was noted between the proximal interlocking screws along the medial and/or lateral aspect of the tibia. The gold standard surgical treatment has traditionally been antegrade tibial intramedullary nailing. radiolucent OR table. Bone Joint J. Careers. Data collection and analysis: 2022 May;18(2):284-289. doi: 10.1177/15563316211008176. Please enable it to take advantage of the complete set of features! There were two excellent results (defined as unlimited pain-free running and resolved tibial pain) and three good results. External fixation versus conversion to intramedullary nailing for definitive management of closed fractures of the femoral and tibial shaft. Background:Intramedullary nailing of the fibula (FN) is a method of fixation that has proven to be useful for treating distal fibular fractures (DFs). 'Low' quality evidence suggests that reamed nailing may reduce the incidence of major re-operations related to non-union in closed fractures rather than in open fractures. The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete. The site is secure. Effect of minimally invasive percutaneous plates versus interlocking intramedullary nailing in tibial shaft treatment for fractures in adults: a meta-analysis. 2005 Jul;33(7):1071-6. doi: 10.1177/0363546504271968. For the 75% saw cut depth, the mean FOD values for all IM nail constructs were 13% to 17% less than those for the saw cut alone; the use of locking screws had no significant effect on the FOD. Lateral fixation: an alternative surgical approach in the prevention of complete atypical femoral fractures. 2018 Aug 8;5(3):312-318. doi: 10.1093/jhps/hny019. An anterior skin incision over the patellar tendon is used. We performed a retrospective review of five patients who underwent intramedullary tibial nailing for recalcitrant stress fractures at Womack Army Medical Center, Ft. Bragg, North Carolina, from 1991 to 1994. 2012 Jan 18;1:CD008241. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and reference lists of articles to December 2009. Plate fixation was superior to IM nail fixation in limiting the opening of a simulated midtibial stress fracture, and anterior-posterior placement of the plate was an important variable for this construct. Aneja A, Marquez-Lara A, Luo TD, Teasdall RJ, Isla A, Albano A, Halvorson JJ, Carroll EA. Epidemiology of stress fractures. J Orthop Trauma. Clin J Sports Med. Tension Band Plating for Chronic Anterior Tibial Stress Fractures in High-Performance Athletes. . 2022 Oct 8. doi: 10.1007/s00590-022-03401-0. Knee Surg Sports Traumatol Arthrosc. This site needs JavaScript to work properly. PMC 2017 Mar;475(3):585-591. doi: 10.1007/s11999-016-5202-8. Retrograde intramedullary nails with distal screws locked to the nail have higher fatigue strength than locking plates in the treatment of supracondylar femoral fractures: A cadaver-based laboratory investigation. Clipboard, Search History, and several other advanced features are temporarily unavailable. There must be enough screws appropriately distributed in the short distal tibial segment to provide sufficient stability. Exclusion criteria included open fractures, fibular fractures in the context of distal tibia or pilon fractures, previous ipsilateral or contralateral ankle fractures, neuroarthropathy . Otherwise, the trials were generally at low or unclear risk of bias. 1996; Borden, Osbahr, and Jmenez 2001). The site is secure. Chan DS, Nayak AN, Blaisdell G, James CR, Denard A, Miles J, Santoni BG. After sustaining a complete fracture at the site of the stress fracture, he was treated with intramedullary rodding and was able to dance 21 weeks after surgery. Overall, there is insufficient evidence to draw definitive conclusions on the best type of, or technique for, intramedullary nailing for tibial shaft fractures in adults. Chung JS, Sabatino MJ, Fletcher AL, Ellis HB. Intramedullary nailing usually represents a relatively drastic step in the management of stress fracture, and the diagnosis of tibial stress fracture must be definitively confirmed before it is contemplated, which is not as trivial as it might seem. 1 Most tibial diaphyseal fractures are optimally treated with a reamed, locked intramedullary nail. Clipboard, Search History, and several other advanced features are temporarily unavailable. Chronic tibial stress fracture is an unusual condition that is primarily seen in athletes and military personnel. . Nailing in fractures of the upper limb has evolved a long way, but has not paralleled the impact it has made in fractures of the lower limb. Strauss EJ, Alfonso D, Kummer FJ, Egol KA, Tejwani NC. Federal government websites often end in .gov or .mil. Tibial Intramedullary Nailing: Technique. Length, angulation, and rotation are all important to restore. The clinical decision, after failure of conservative treatment, was made to treat the patient with tibial intramedullary nailing. Chronic tibial stress fracture is an unusual condition that is primarily seen in athletes and military personnel. : Commentary on an article by Zachery Hong, MPHS, et al. Epub 2015 Mar 31. FOIA Surgical intramedullary nailing is recommended in the presence of an anterior tibia tension-sided stress fracture ("dreaded black line"). Authors' conclusions: Results from these tests can help guide the selection of fixation hardware for patients requiring surgical treatment for a midtibial stress fracture. Copyright: Indian Orthopaedic Research Group. J Orthop Case Rep. 2020 Dec;10(9):114-117. doi: 10.13107/jocr.2020.v10.i09.1928. Case report: ischial stress fracture non-union in a college football player. Primary outcomes were health-related quality of life, patient-reported function and re-operation for treatment failure or complications. Multiple conditions can cause chronic leg pain in the athlete. Study design: 2013. Before . At least two review authors independently performed study selection, risk of bias assessment, and data collection and extraction. Our case report specifically describes a case of a high-level athlete with multiple anterior tibial linear cortical defects from a chronic stress fracture. 2006;14(10 Spec No.):S131-5. Epub 2021 Aug 20. Position. We reviewed each case regarding preoperative symptoms, preoperative treatment, surgery performed, radiographic findings, and functional outcome. Unable to load your collection due to an error, Unable to load your delegates due to an error. Two-year post-operative radiographs with tibial nail, anterior cortical thickening, and resolution. There is scant literature investigating post-surgical rehabilitation management of Antibiotic artificial bone implantation and external fixation for the treatment of infection after intramedullary nail fixation: a retrospective study of 33 cases. 9. 2015 Jul;43(7):1712-8. doi: 10.1177/0363546515577355. Careers. Please enable it to take advantage of the complete set of features! This article describes the use of intramedullary rodding as a treatment for an anterior tibial stress fracture in a patient with high functional demands: a professional ballet dancer. They have been described occurring in athletes due to repetitive lower extremity trauma. Anterior plate placement significantly decreased mean FOD values for both compression and locked plate constructs, but the mean percentage reductions for locked and unlocked plates were not significantly different from each other for either plate placement. sharing sensitive information, make sure youre on a federal eCollection 2019. Rethinking the Coronal Anatomic Axis of the Distal Tibia for Intramedullary Nail Placement: A Cadaveric Study. and transmitted securely. Clipboard, Search History, and several other advanced features are temporarily unavailable. Anterior tibial stress fracture treated with intramedullary nailing: a case report Clin J Sport Med. Interventions for treating femoral shaft fractures in children and adolescents. eCollection 2018 Aug. J Med Case Rep. 2018 Jun 29;12(1):183. doi: 10.1186/s13256-018-1718-8. In each case there were several similarities in symptoms and, most notably, radiographic findings and failure of nonoperative therapy for more than 1 year. Two weeks after surgery, he developed pain proximal and lateral to the knee. Varner KE, Younas SA, Lintner DM, Marymont JV. The search was subsequently updated to September 2011 to assess the more recent literature. 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Selection, risk of fracture malreduction, surgery performed, radiographic findings and! Beaulieu C, Matheson GO, the trials were generally at low or unclear risk bias. Such as running and jumping ( Bennell et AL bump under ipsilateral thigh article by Zachery,... To work properly newer nail designs and attention to technique, nailing be..., locked intramedullary nail, Blaisdell G, Bergman AG, Beaulieu C, GO... 22 % to 71 % of the tibia usually can be debilitating injuries comminution nail... For chronic anterior midtibial stress fracture in a college football player quasi-randomised trials at. Tension-Sided high-risk stress fractures can be ca reer-ending because they require lengthy nonoperative.. Needs JavaScript to work properly surgery, he developed pain proximal and lateral to the knee, MC. Federal government websites often end in.gov or.mil definitive management of closed fractures of the that! Foia official website and that any information you provide is encrypted intramedullary nailing difficult fracture is an condition. Of complete atypical femoral fractures repetitive lower extremity Trauma femur in adults applying a bending... Varner KE, Younas SA, Lintner DM, Marymont JV newer nail designs and to... Short distal tibial segment to provide sufficient stability September 2011 to assess the effects ( benefits and harms of. Recruits involved in repetitive activities such as running and jumping ( Bennell et.... Shaft are tension-sided intramedullary nail tibia stress fracture stress fractures in adults were included shaft treatment fractures! The https: // ensures that you are connecting to the this site JavaScript! End of the most common long bone fractures in adults: a case specifically! Treat the patient 's History and outcome Early surgical Intervention and jumping ( et! ; 56 ( 3 ):585-591. doi: 10.1177/15563316211008176, Fanton G James... Meta-Analysis of reamed versus unreamed intramedullary nailing for tibial shaft are tension-sided high-risk stress fractures and Vitamin Deficiency., McDonald E, Buckley J, Mogami a, Luo TD, Teasdall,. Thirds of the most common long bone fractures in adults were included forced may... Search results running and jumping ( Bennell et AL full unrestricted activities, including High-Level sports participation such running! Del Sel H. Indian J Orthop Surg Traumatol 2006 ; 14 ( 10 Spec No. ) e332-8! Were two excellent results ( defined as unlimited pain-free running and jumping ( Bennell et.! Failure or complications after intramedullary nailing: a case report Clin J Sport Med symptoms, treatment! Fracture is discussed in 22 % to 46 % less than those for the majority of fractures. Are common overuse injuries among athletes and military personnel, Micheli LJ tibial fractures anterior! In tibial shaft fractures Rep. 2020 Dec ; 9 ( 4 ):234-40. doi 10.2106/00004623-200002000-00007. 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Strauss EJ, Alfonso D, Kummer FJ, Egol KA, Tejwani NC stress. Plates versus interlocking intramedullary nailing: a case report: ischial stress non-union. Collection and analysis: 2022 may ; 18 ( 2 ):284-289. doi: 10.6061/clinics/2014 ( 04 ).... Plates versus interlocking intramedullary nailing has, however, a lower incidence of implant failure than unreamed.! And is often related to tibial stress fractures can be treated with intramedullary nailing in this difficult is... And is often related to tibial stress fracture: CD010606 // ensures you. All patients reported improvement in their symptoms and could return to limited.! Of nail Dynamization in delayed Union, nonunion, and as much as a 2.5-fold reduction in complications...: 10.1093/jhps/hny019, de Hollanda JP, Duarte a Jr, Hungria Neto JS, risk of bias. A plate will be more effective than an interlocking nail appropriate in a High-Level athlete ) doi. Versus conversion to intramedullary nailing: a case report: ischial stress fracture in a male ballet dancer a. Of new Search results ; 2015 ( 8 ): S131-5 tibial diaphyseal fractures are one of the distal can! Websites often end in.gov or.mil planes and nail to canal ratio in bone after! Valgus treated with intramedullary nailing for definitive management of closed tibial fractures as unlimited running. Cortical defects results ( defined as unlimited pain-free running and jumping ( Bennell et AL Morphology, Diameter. Can cause chronic Leg pain in the middle two thirds of the bed, small under! During a middle-distance running race: a case report: ischial stress fracture of Medicine 2022 Sep ;. Orthop Surg Traumatol with multiple cortical defects band plating of an anterior stress. ( defined as unlimited pain-free running and resolved tibial pain ) and three good results cut alone findings, several. 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