The most common cause of stress fractures of the tibia is repetitive stress or overtraining for sports. The tibia is a weight-bearing bone in which stresses can accumulate from activities such as running and jumping. Knee / Conditions / Stress Fracture of the Tibia What is a Stress Fracture of the Tibia?Ī stress fracture of the tibia or shinbone is a thin fracture, also called a hairline fracture that occurs in the tibia due to excess stress or overuse. MEB to be initiated by primary care and referred to Tripler Army Medical Center orthopedics MEB and peblo for completion.Megan Wolf, M.D., Orthopedic Sports Medicine Specialist, Winston-Salem, N.For MEB if symptoms persists for > 6 months despite above treatment.Referral criteria for Return to Primary Care In the rare instance when there is a visible fracture line on plain radiographs – orthopedic consultation is appropriate.To Physical Therapy: Routine referral for rehabilitation.Indications for referral to Specialty Care Patient has any questions regarding care.Increased pain or swelling after the first three days.Patient is having difficulty after three days of injury.Schedule follow up visit with primary care.Ask soldier if he or she has any questions.Correct any incorrect ROM/stretching demonstrations or instructions by repeating and demonstrating information or exercise correctly. Ask the patient to demonstrate newly learned techniques and repeat any other instructions.Participate in a conditioning program to build muscle strength.Demonstrate rehab exercises as shown in attached guide.Instruct and demonstrate rehab techniques.Use diagram attached to describe injury, location and treatment.Describe/show soldier his/her limitations.Patient/Soldier Education or Self care Information Weeks 8-12 progress profile to bike/run at own pace and distance.Defects or impairments that require significant restriction of use.Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent moderate marching, climbing, timed walking, or prolonged effect.
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