{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:46:46Z","timestamp":1755798406960,"version":"3.44.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Melbourne, Australia was considered the most locked\u2010down city during the COVID19 Pandemic. School was conducted from home and all organized sport ceased. Our institution noted an increased presentation of bone stress injuries (BSI) ranging from periostitis to stress fractures. This study reviews the prevalence of these injuries to gain insights into BSI presentation, diagnosis and best management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of lower limb long bone stress injuries between April 1st 2020 and March 31st 2022, and from 2018 to 2020 for comparison, was conducted. A chart review of those meeting inclusion criteria for demographics, fracture characteristics, investigations, and treatment administered was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirteen patients (two female, 11 male) met inclusion criteria. Only four patients were identified in the comparison period. The average age was 11.6\u2009years, and average symptom duration was 7\u2009weeks. Distinct morphologies were noted, specifically three discrete patterns of tibial injury were identified. Patients underwent an average of three imaging studies prior to diagnosis. Nine of 13 patients were prescribed a period of non\u2010weight bearing, averaging 3.5\u2009weeks. Seven of 13 patients were prescribed a formal \u2018partial weight bearing\u2019 (50%) period averaging 6.4\u2009weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was a significant increase in paediatric BSI presentation over the COVID\u201019 lockdowns. This may be linked to the effect of reduced physical activity. Knowledge of the three clear tibial morphologies identified in this study will inform future diagnosis and reduce investigation expenditure. These findings may inform public health measures during mandated lockdowns and raise a diagnostic framework for such injuries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.70014","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T08:05:51Z","timestamp":1739520351000},"page":"549-556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Increase in paediatric bone stress injuries: a single\u2010center study during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6191-9211","authenticated-orcid":false,"given":"Amy","family":"Behman","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Browne","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Orthopaedic Surgery St. Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo","family":"Donnan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stewart","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.55275\/JPOSNA-2021-372"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200011000-00002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.55275\/JPOSNA-2022-0015"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000650"},{"key":"e_1_2_7_6_1","first-page":"1","article-title":"Fatigue fractures after the COVID\u201019 quarantine","volume":"50","author":"Dang P","year":"2021","journal-title":"Phys. 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