Korean J Sports Med.  2011 Dec;29(2):122-125. 10.5763/kjsm.2011.29.2.122.

Low Energy Extracorporeal Shock Wave Therapy for Stress Fracture of the Anterior Cortex of the Tibia

  • 1Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, Korea. jhlee.hwang@samsung.com


Anterior cortex of the tibia is one of the intractable stress fracture sites ocurring in athletes, which are result of repetitive use damage that exceeds the intrinsic ability of the bone to repair itself. It is sometimes difficulty to repair the anterior cortical stress fracture, which result in delayed union or nonunion. Extracorporeal shock wave therapy (ESWT) can be an useful method in the management of stress fracture of the anterior cortex of the tibia. We present a case of an young athlete affected by chronic stress fractures of the anterior cortex of the tibia that received low energy ESWT. The clinical result was excellent and he was able to gradually return to sports activities.


Stress fracture; Shock waves; Tibia
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