Complete tibia and other bone Fractures may result without collision in sport from overtraining, overuse stress fractures if an activity continues without rest and proper treatment.


“Risk Factors for Stress Fracture

Consuming more than 10 alcoholic drinks per week
Excessive physical activity with limited rest periods
Female athlete triad (eating disorders, amenorrhea, osteoporosis)
Female sex
Low levels of 25-hydroxyvitamin D
Recreational running (more than 25 miles per week)
Sudden increase in physical activity
Track (running sports)”

“Certain stress fractures may lead to complications, including progression to complete fractures, development of avascular necrosis, or delays in healing or nonunion. Examples of these high-risk stress fractures include the superolateral femoral neck, patella, anterior tibia, medial malleolus, talus, tarsal navicular, and the fifth metatarsal.22 High-risk stress fractures may warrant consultation with an orthopedist or sports medicine subspecialist.

In special circumstances, such as in competitive athletes during their sport’s season, patients may choose to modify their activity to a decreased level of intensity (tolerable without exacerbation), and delay complete rest until the season is finished.22

In these situations, athletes should be aware of the potential for prolonged recovery or the need for additional interventions, including surgery”
[Stress Fractures: Diagnosis, Treatment, and Prevention, Deepak S. Patel, MD, Matt Roth, MD, Neha Kapil, MD, Am Fam Physician. 2011 Jan 1;83(1):39-46.]


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