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Review Question - QID 262

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QID 262 (Type "262" in App Search)
Which of the following stress fracture locations has the greatest likelihood of delayed healing or developing a nonunion?

Anterior cortex of tibia

73%

2165/2956

Posteromedial cortex of tibia

5%

143/2956

Distal fibula

1%

44/2956

Inferior femoral neck

13%

394/2956

3rd metatarsal

7%

197/2956

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The anterior tibial cortex is a tension side stress fracture and reportedly in the article below it is a problematic area to heal. Conversely, compression side tibial stress fractures usually heal without a problem. This is true on the femoral neck as well. While 2nd and 5th metatarsals can have problems with delayed or nonunions, 3rd metatarsals generally heal well.

Illustration A shows a tibial stress fracture on biplanar radiographs.

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