Patients who have osseous stress injuries most commonly present with insidious onset of activity-related local pain with weight bearing. If the athlete continues to exercise, the pain may become more severe or occur at an earlier stage of exercise . Typically, the pain resolves when the patient is nonweight bearing . Occasionally, the patient may present with additional findings of redness, swelling, and obvious periosteal reaction at the site of stress fracture. In most cases, the diagnosis of a stress fracture is a clinical one. Occasionally, however, the diagnosis may not be as straightforward, and imaging may be indicated to differentiate among other significant etiologies.
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