Treating a case of stress fracture bilaterally tibia with adductor muscle release and biomechanical correction

Treating a case of stress fracture bilaterally (B/L) tibia with adductor muscle release and biomechanical correction. A 26-year-old active sportsperson (fast bowler in cricket) is presented with a complaint of recurrent episodes of shin bone fractures on both 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 B/L. His adductor spasm was relieved, and insole with medial arch support was 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. Overpronation at the ankle can cause an excessive amount of stress on bones and soft tissues over the medial compartment of the 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. Furthermore, overpronation and tight adductors put a lot of stress on the tibia and predispose it to stress fracture.