Foot and Ankle Surgery
Volume 15, Issue 2 , Pages 96-100, June 2009

Coeliac disease presenting with bilateral fibular stress fractures

  • Julian Gilbody, MRCS B.Sc.

      Affiliations

    • Corresponding Author InformationCorresponding author at: 72 Witherford Way, Selly Oak, Birmingham B29 4AS, United Kingdom. Tel.: +44 7974768656; fax: +44 1905733008.
    • ,
  • Michael Trevett, FCS(SA)Orth FRCS(Eng)

Trauma & Orthopaedics, Worcestershire Royal Hospitals NHS Trust, United Kingdom

Received 23 November 2007; received in revised form 8 June 2008; accepted 9 June 2008. published online 21 July 2008.

Abstract 

We present the case of an apparently healthy 22-year-old female who presented with atraumatic stress fractures of both fibulae. Further investigation demonstrated that she had osteopoenia secondary to occult coeliac disease. The fractures were successfully treated non-operatively. The awareness of the prevalence of occult coeliac disease is increasing due to simpler diagnostic tests, as is its significance as a cause of secondary osteoporosis. Knowing the relationship between these two conditions will help orthopaedic surgeons treating such patients to refer them promptly to appropriate specialists.

Keywords: Fibula, Stress fracture, Celiac disease

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PII: S1268-7731(08)00072-6

doi:10.1016/j.fas.2008.06.001

Foot and Ankle Surgery
Volume 15, Issue 2 , Pages 96-100, June 2009

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