Anatomical Approach to Biopsy

Region specific approaches



- want to traverse one muscle / one compartment

- keep away from NV bundle

- as a rule perform open biopsy through compartment the tumour is in

- this is the compartment that will require surgical removal in wide excision

- direct approach without going through muscle if possible i.e. tibia, distal ulna


Lower Limb




Tibial Stress Fractures

EpidemiologyTibial Stress Fracture


Athletic / high impact exercises




First described in ballet dancers (Burrows 1956)

- tension side of bone / lateral side

- progression to complete fracture has been well documented in athletes




Point tenderness

- lateral aspect of tibia


Over time develop bony lump