S Myers, D Bell, J Gorman
Orthopaedic Department, Prince of Wales Hospital, Randwick, New South Wales 2031, Australia

J Best
Orthosports, Randwick, New South Wales 2031, Australia

J Rooney
Orthopaedic Department, St Vincents Hospital, Darlinghurst, New South Wales 2010, Australia

Stress fractures of the fibula commonly occur distally in runners, whereas stress fractures of the proximal fibula are uncommon and typically occur in jumpers. Furthermore, it is rare for a stress fracture to be repeated in the same bone. We report a case of a repeated stress fracture of the proximal fibula in a male runner with abnormal gait that primarily involved excessive pronation. Unusual risk factors in this case were anorexia nervosa and use of an inhaled corticosteroid. The patient was treated conservatively, and healing of the fracture was completed at 12 weeks.

Key words: anorexia nervosa; corticosteroid; fibula; risk factor; runner; stress fracture