Cilj: Autori predstavljaju slučaj pogrešne dijagnoze stres frakture proksimalnog dijela
tibije s naglaskom na dijagnostičkim metodama i metodama liječenja. Prikaz slučaja: Vrhunski
međunarodni rukometaš u dobi od 27 godina javio nam se sa stres frakturom prednje strane
gornje trećine desne tibije, što je povezano s prekomjernim i repetitivnim stresom na potkoljenicu.
Igra poziciju desnog krila, te koristi desnu nogu za odskok. Sportaš nije imao prethodnih
ozljeda. Koristili smo novi neoperativni pristup u liječenju vrhunskog rukometaša i proveli
detaljno dijagnostičko praćenje ozljede i oporavka. Sportaš je izvrsno reagirao na neoperativni
pristup liječenja nakon pogrešne dijagnoze. Dokumentirano praćenje trajalo je 3,5 godina, nakon
što je završeno konzervativno liječenje. Zaključak: Naglasak je stavljen na važnost pravovremeno
postavljene dijagnoze te odabir adekvatnog liječenja kako bi se smanjilo vrijeme potrebno
za oporavak i vraćanje vrhunskog sportaša u formu jednaku onoj prije ozlijede. Nakon
detaljnog pretraživanja relevantne literature autori nisu pronašli opis stres frakture kod rukometaša
do sada.Aim: Authors present a misdiagnosed case of proximal tibial stress fracture emphasizing
diagnostical and treatment methods. Case report: A 27-year-old international top-level
handball player, presented to us with a stress fracture of the right proximal anterior tibia in
connection with repetitive and excessive stress to lower leg. He plays right wing position and
uses his right leg for jumping. There was no history of previous injuries. We used a new nonoperative
approach in treating a top-level handball player as well as detailed diagnostic monitoring
of both the injury and the recovery. Athlete’s response to the new non-operative approach
was excellent after having been misdiagnosed. Documented monitoring lasted for 3.5
years after the conservative treatment had been finished. Conclusion: The emphasis is put on
the importance of making a diagnosis at the right time and choosing adequate treatment with
the aim of reducing time needed for recovery and returning top-level athletes’ performance
to the same level as prior to injury. Based on a detailed search of relevant literature, the authors
have found that stress fractures have never before been described in handball players