Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2020; 8(18): 4135-4150
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4135
Stress fractures in uncommon location: Six case reports and review of the literature
Krzysztof Ficek, Paulina Cyganik, Jolanta Rajca, Agnieszka Racut, Aleksandra Kiełtyka, Jerzy Grzywocz, Grzegorz Hajduk
Krzysztof Ficek, Jolanta Rajca, Agnieszka Racut, Grzegorz Hajduk, Department of Science, Innovation and Development, Galen-Orthopaedics, Bierun 43-150, Poland
Krzysztof Ficek, Department of Physiotherapy, The Jerzy Kukuczka Academy of Physical Education, Katowice 40-065, Poland
Paulina Cyganik, Industry Cooperation Department, University of Silesia, Katowice 40-007, Poland
Aleksandra Kiełtyka, Diagnostic Imaging Department, Helimed Diagnostic Imaging, Katowice 40-760, Poland
Jerzy Grzywocz, Department of Spine Surgery, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie 41-940, Poland
Author contributions: Ficek K conceived and designed the study and wrote the manuscript; Cyganik P wrote manuscript; Rajca J collected the patients’ clinical data; Racut A carried out the literature search; Kieltyka A analyzed patients’ data and provided the figures; Grzywocz J carried out the literature search; Hajduk G revised the manuscript for important intellectual content.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Krzysztof Ficek, MD, PhD, Associate Professor, Department of Science, Innovation and Development, Galen-Orthopaedics, Jerzego 6, Bierun 43-150, Poland. krzysztof.ficek@galen.pl
Received: April 21, 2020
Peer-review started: April 24, 2020
First decision: May 15, 2020
Revised: July 22, 2020
Accepted: August 20, 2020
Article in press: August 20, 2020
Published online: September 26, 2020
Processing time: 150 Days and 16.9 Hours
Core Tip

Core Tip: The cause of stress fracture is multifactorial and difficult to diagnose, particularly when it occurs in uncommon locations. This case report demonstrates the different possible locations and causes of stress fractures, as well as the various methods used to diagnose and treat these fractures. Here we show that the cause of stress fractures, except for well-known factors, may also lie in motor skill development. It also highlights that treatments should be individualized according to each patient’s clinical condition.