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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.
21M runner with history of SLE on episodic steroids; initially left sided shin pain and right shin pain 2 years later
Courtesy Ali Naraghi, MD
