Stress fractures in athletes

Ross.Hauser.MD

Stress fractures, especially of the lower extremities, are often the result of increasing the amount or intensity of an activity too rapidly. Much has been written about foot strike impacts and increased physical activity as primary causes.

New research from the Harvard Medical School gives a summary

 

Looking at joint instability and Body Mass Index in stress fractures


Shin Splints ProlotherapyDoctors at Tokyo Medical and Dental University examined runners for Medial tibial stress syndrome (shin splints) and tibial stress fracture to determine risk factors for High School age athletes.

Here are their findings on stress fractures:

Researchers from Brazil and Columbia University in New York examined the role of endocrinology disorders on female athletes suffering from stress fractures.

The researchers were able to suggest protocols for individuals whose bone mineral density is reduced along with low intake of dietary calcium and low circulating levels of 25-hydroxy vitamin D.

1 Mandell JC, Khurana B, Smith SE. Stress fractures of the foot and ankle, part 2: site-specific etiology, imaging, and treatment, and differential diagnosis. Skeletal Radiol. 2017 Mar 25. doi: 10.1007/s00256-017-2632-7. [Pubmed]

2 Yagi S, Muneta T, Sekiya I. Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners. Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):556-63. doi: 10.1007/s00167-012-2160-x. Epub 2012 Aug 9.

3 Moreira CA, Bilezikian JP. Stress fractures: concepts and therapeutics. J Clin Endocrinol Metab. 2016 Oct 12:jc20162720.

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