Bilateral symmetric stress fractures in a toddler

Stress fractures are a common injury among adolescent athletes and military recruits. The increase in child participation in organized sport activitie s has contributed to the inclusion of the skeletally immature age group amo ng those who may suffer from this problem. Bilateral simultaneous symmetric tibial stress fractures that are infrequent in older children are even mor e rare in toddlers. This entity may cause a diagnostic problem as it must b e differentiated from infectious disease, acute trauma or even from the res ult of a battered child.