21yo active duty military recruit continued to run despite continually worse lef

Question

21yo active duty military recruit continued to run despite continually worse left tibial shaft pain. Pain in left tibial shaft was worse with weightbearing activities and better with rest. One day before OCS (Officer Candidate School) graduation the patient went for a run and sustained an injury that required ambulance transportation to the ED. The patient subsequently underwent surgical intervention. Presented are his 6 month postoperative X-rays. Provide a synopsis of the patient’s pathology, how that pathology contributed to his symptoms and eventual treatment. Be thorough.

Explanation / Answer

In the above patient it shows that the patient is having stress fracture it a fatigue induced fracture of the bone by repeated stress over time, it is the result of the accumulated trauma from repeated submaximal loading such as running it is most frequently seen in weight bearing bones, the pathology is that extraordinary stress is placed on the tibia due to running and and in overtime and if more stressed is placed on the bone that it exhausts the capacity of the bone to remodel a weekend site is formed and a then stress fracture occurs and after repeated traumas a sudden break will occur that is fracture and if patient on initial pain consulted the physician then the patient will not have to face the fracture and if the frature is seen in the patient surgery is needed and the procedure may involve pinning the fracture site and rehabilitation can take up to 6 months

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