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  1. #1
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    stress fracture ?

    hello
    i got a pt with a pain in his distal rt tibia with a history of ant . talo fibular ligament injury of 5 days . he is under UST & iceing along with analgesics . investigation
    leads me to a stress fracture , but also confused with any
    periosteal damage due to sprain. pt was a athlete for 7
    years
    what's the rest duration
    for the pt

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  2. #2
    perfphysio
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    re: stress fracture ?

    Taping
    I am a little confused. Is his pain medial or lateral. A syndesmosis sprain of any relevance would show as a widening of the ankle mortis on plain x-ray. Distal pain is unlikely to be periosteal in my books. How sever was the old sprain? Could be anything really, bone damage as in a talar dome issue (should be ruled out clinically), small avulsion fracture, syndesmosis injury, anterior implngement due to overactive soleus post sprain etc etc. Best to do a thorough physical examination and provide us more details. thanks richard



 
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