Background: Treating a case of stress fracture B/L Tibia with adductor muscle release and biomechanical correction.
Case presentation: A 26 years old active sports person (fast bowler in cricket) is presented with complaint of recurrent episodes of shin bone fracture both the sides. Initially only swelling was present but later it was associated with excruciating pain and difficulty in walking. On careful biomechanical evaluation he was found to have overpronation at the ankle joints and tight adductors Bilaterally (B/L). His adductor spasm was relieved and insole with medial arch support were given for overpronation. He was immediately pain free and his fracture started healing after that. Now after 2 months of efforts he is playing his sports and doing training regularly.
Conclusion: Overpronation at the ankle can cause excessive amount of stress on bones and soft tissues over medial compartment of legs. Adductor muscle tightness refers to the condition where the muscles located on the inside of the thigh, called the adductor muscles, are tense or contracted. This tightness may cause pain in the inner thigh or groin area, as well as discomfort and restricted range of motion. Several factors, such as overuse, imbalanced muscles, insufficient stretching or injury, can cause it. Also, overpronation and tight adductor put lot of stress on tibia and predispose it for stress fracture.
