PT  - JOURNAL ARTICLE
AU  - S Mpofu
AU  - R J Moots
AU  - R N Thompson
TI  - Bilateral distal fibular and tibial stress fractures associated with heavy smoking
AID  - 10.1136/ard.62.3.273
DP  - 2003 Mar 01
TA  - Annals of the Rheumatic Diseases
PG  - 273--274
VI  - 62
IP  - 3
4099  - http://ard.bmj.com/content/62/3/273.short
4100  - http://ard.bmj.com/content/62/3/273.full
SO  - Ann Rheum Dis2003 Mar 01; 62
AB  - An unusual case of simultaneous bilateral stress fractures of the distal tibia and fibula in a 45 year old white woman is described. The onset of symptoms was not associated with a specific episode of trauma, sporting activity, or identifiable inflammatory predisposing cause. Her bone density scan, bone profile, and biochemistry were all normal. Although stress fractures are well recognised, bilateral distal tibial and fibular fractures are particularly rare. A high degree of awareness is required for early diagnosis.