{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T23:29:14Z","timestamp":1782170954066,"version":"3.54.5"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T00:00:00Z","timestamp":1690243200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fibula stress fractures are moderately common injuries among athletes and military recruits. Most of the available data for treatment come from case reports with a limited number of large studies. This systematic review aims to evaluate and present the current literature on fibula stress fractures to help set evidence-based goals and establish realistic expectations for return to activity and sport in injured patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Systematic literature search using 3 databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol and the Cochrane Handbook guidelines were followed. The terms \u201cfibula stress fracture\u201d or \u201cfibular stress fracture\u201d were searched. Date range for inclusion was 2010-2022. Pediatric, non-English, lack of full text available, and studies lacking differentiating fibula stress fracture versus other types of fractures in their data were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3 studies with 10\u2009987 subjects were included. Among 521 stress fractures in all 3 studies, there were 45 (8.6% of all fractures) cases involving the fibula. All fibular stress fractures healed successfully with nonoperative measures and non-weight-bearing precautions, on average, by 7 weeks and patients resumed activity, on average, by 9 weeks. Among the 3 studies, there were no reported cases of nonunion or delayed union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review found that fibula stress fractures have a relatively moderate incidence among stress fracture injuries with a frequency up to 8.6%. Despite this high number, there is sufficient healing in fibula stress fractures when managed nonoperatively with activity modification in a weight-bearing foot to allow for resumption of baseline activities, on average, by 9 weeks. This review can be used to help set evidence-based goals and establish realistic expectations for return to activity and sport in patients who suffer from fibula stress fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence:<\/jats:title>\n                    <jats:p>Level II<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400231184124","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T02:39:40Z","timestamp":1690339180000},"page":"501-507","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Fibula Stress Fractures: A Systematic Review"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4033-9012","authenticated-orcid":false,"given":"Rodrigo","family":"Encinas","sequence":"first","affiliation":[{"name":"School of Medicine Columbia, University of South Carolina, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Sharpe","sequence":"additional","affiliation":[{"name":"Prisma Health Midlands, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4033-7700","authenticated-orcid":false,"given":"Yianni","family":"Bakaes","sequence":"additional","affiliation":[{"name":"School of Medicine Columbia, University of South Carolina, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Mazoue","sequence":"additional","affiliation":[{"name":"Prisma Health Midlands, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9444-087X","authenticated-orcid":false,"given":"Benjamin","family":"Jackson","sequence":"additional","affiliation":[{"name":"Prisma Health Orthopedics\u2014Lexington, Lexington, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Prisma Health Orthopedics\u2014Lexington, Lexington, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1460408613498067"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112467423"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i3.242"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsm.2021.150852"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.451"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738116677732"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2015.08.008"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2018.09.006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2015\/12535.6282"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.12.004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2009.05.005"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/OAJSM.S100026"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2017.05.003"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113486588"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500107"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.080102"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199206000-00028"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198404000-00047"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199609000-00034"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200312"},{"issue":"4","key":"e_1_3_2_25_2","first-page":"6303","article-title":"Stress fracture of the distal fibula in flatfoot patients: case report","volume":"8","author":"Cheng Y","year":"2015","unstructured":"Cheng Y, Yang H, Ni L, Song D, Zhang H. Stress fracture of the distal fibula in flatfoot patients: case report. 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