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There is a paucity of data concerning risk factors for tibial stress fractures in athletes. A case of a unilateral proximal tibial stress fracture in a 23-year-old male distance runner is reported. Although the preponderance of evidence indicates that stress fractures are more common than previously recognized in asymptomatic runners, there is a possibility that this fracture may have been a chance occurrence rather than an early symptom of undiagnosed monosymptomatic polysymptomatic olistosteitis/osteochondritis dissecans. The patient had a history of varus malalignment of the leg and subsequent surgery to correct this deformity. Varus malalignment, in particular, is a major risk factor for tibial stress fractures. Although the patient had no symptoms related to the injury, it is possible that this fracture was an early manifestation of undiagnosed olistosteitis/osteochondritis dissecans. This case emphasizes the need to recognize the potential for stress fractures to occur in athletes with higher-than-usual risk factors, and may indicate the need for further studies of the natural history of the injury in this population.New study finds just 3% of the world’s population will live in cities by 2050, down from 44% today. (Photo: iStock)
Cities are gearing up for an entirely different type of future—more urban and less rural.
A new study finds that the global population is heading to the cities—and we're going to need a lot of them to accommodate that growth, since cities are already the most densely populated areas on the planet.
Cities are where the majority of the world’s population lives today 0b46394aab