Stress fractures of the fibula may occur in runners, presenting as local pain and tenderness over the fibula. The incidence of stress fractures in the fibula in running has been quoted between 7% and 12%, and is most common in the distal fibula [6,8,66]. Proximal fibular stress fractures may also rarely occur, but are more common in jumpers. A high clinical suspicion is particularly important in making both of these diagnoses. Fractures may present as pain and tenderness over the lateral proximal fibula or as knee pain, requiring a high clinical awareness to make the correct diagnosis [67,68]. Imaging findings are similar to findings in the tibia.
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