stress fractures At 2 years the Left side ant tibial striations improved but recurred at 3 years. MRI of the left side done at 2 years when symptoms had improved showed the cortical changes and minimal endosteal edema.
Other complicating factor: was found to have primary hyperparathyroidism during the workup! Subtle tibial undercutting in retrospect (last slide)? He had no other skeletal manifestations of hypeparathyroidism.