Stress fractures of the tibia in children

Stress fractures are a frequenti injury in athletes. This is a report of three cases of stress fractures of the proximal tibia in children not participating actively in sporting activites, ranging in age from 4 to 9 years. The patients were appropriate in growth and development for their age. The axis of the lower extremities in the frontal and sagittal plane was within the physiologic values. Osteogenesis imperfecta was excluded based on clinical parameters. Following the clinical examination, diagnostic evaluation was performed according to standard algorithm (X-ray, scitigraphy, CT). Patients were followed up a year after the healed stress fracture was seen by radiological examination. Treatment lasted 8 to 12 weeks, including immobilization of up to 6 weeks according to the age of the patients, and after that activity modification until complete bone consolidation as confirmed by radiological imaging