A 15-year-old female Highland dancer presented to the accident and emergency department with an ankle inversion injury on a background of several weeks of pain in the right foot. [ncbi.nlm.nih.gov]

• Forearm Pain

  She presented with a long history of elbow and forearm pain, which was exacerbated during a long weekend of pitching. Her initial physician diagnosed her as having forearm tendinitis. [ncbi.nlm.nih.gov]

• Soft Tissue Mass

  tissue mass that in this patient suggest a longitudinal distal femoral fatigue stress fracture. [ncbi.nlm.nih.gov]

  There is no osseous or soft tissue mass. 4 Figure 4: (4a) The (left) axial proton density-weighted image reveals marrow edema (*) and periosteal edema (arrowheads) involving the mid tibia, most prominent along the posterior tibial cortex. [radsource.us]

• Cerebral Palsy

  Following our review of the current literature, we did not identify any reports of stress fracture of the navicular bone in cerebral palsy. [ncbi.nlm.nih.gov]

• Walking with a Cane

  On his second presentation, 4 weeks later, his lumbago was so severe that he could not walk without a cane. [ncbi.nlm.nih.gov]

• Jaw Pain

  As the fracture healed and symptoms improved, the patient became unwell with weight loss, lethargy, chest and jaw pain and fevers. [ncbi.nlm.nih.gov]

• Foot Pain

  We believe that in cases where cerebral palsy patients with paralytic equinus complain of foot pain, the possibility of stress fracture of the navicular bone should be considered. [ncbi.nlm.nih.gov]

  […] fracture of the foot are: 1) Pain: A stress fracture foot problem usually starts off with mild pain and gradually gets worse. [foot-pain-explored.com]

  Foot Pain Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Find out when to see your doctor, and much more. Orthotics Many people use orthotics to improve the function and stability of their feet. [footvitals.com]

• Heel Pain

  Articles Recommended for You: Causes of Heel Pain Heel Pain Treatments Burning Heel Pain Our Plantar Fasciitis E-Book is completely free! Enter your email to receive it straight to your inbox. [heelthatpain.com]

  All patients reported heel pain on walking. Swelling and local heat were found in four and three patients, respectively. Pain was elicited by squeezing the calcaneus in all patients. [ncbi.nlm.nih.gov]

  Starting from the fifth toe and working back to the heel. Read More HEEL PAIN The most common form of heel pain, is pain on the bottom of the heel. It tends to occur for no apparent reason and is often worse when first placing weight on the foot. [podiatrynetwork.com]

  The symptoms of stress fractures of the heel might resemble the symptoms of a bruised heel. Pain will come and go and get worse with weight-bearing activity such as running or jumping. [epainassist.com]

  "Diagnosing heel pain in adults." Am Fam Physician 70(2): 332-8. Breithaupt, J. (1855). " Zur pathologie des menschlichen fussess. 1855; 24:169-177." Medizin Zeitung 24: 169-177. Fredericson, M., A. G. Bergman, et al. (1995). [drpribut.com]

• Lower Leg Pain

  The patient was a 15-year-old adolescent male who was referred to a physical therapist for a chief complaint of bilateral posterolateral lower-leg pain, which was worse in the right lower extremity than in the left. [ncbi.nlm.nih.gov]

  Unfortunately, it’s not always easy to determine the source of lower leg pain without an evaluation from a doctor. [physicianoneurgentcare.com]

• Buttock Pain

  The authors describe a 23-year-old male cross-country runner who presented with low back and buttocks pain. Radiographic findings were unremarkable, but a hop test identified a sacral stress fracture. [ncbi.nlm.nih.gov]

• Bone Disorder

  Nutritional deficienciesSleep deprivationCollagen abnormalitiesMetabolic bone disorders 9. Stages in development1. Crack initiation2. Crack propagation3. [slideshare.net]

  These conditions include osteopenia, osteoporosis, other metabolic bone disorder, hormonal abnormalities, inadequate nutritional intake, and collagen disorders. [drpribut.com]

• Distractibility

  This technique offers advantages, such as no violation of the extensor mechanism and risk of anterior knee pain, and directly addresses the underlying problem of distraction forces acting on the anterior tibial cortex and compromising fracture healing [ncbi.nlm.nih.gov]

  Distraction or tension stress # - starts in superior cortexHigh chance of displacement & progressionGrade 3 or grade 4 tension-side femoral neck stress fracturesshould be stabilized with multiple screw fixation to promotehealing and prevent displacement [slideshare.net]

  Conservative management of distraction-type stress fractures of the femoral neck. J Bone Joint Surg Br. 1986 ;68(1): 65 - 67. Google Scholar | Crossref | Medline 7. Banal, F, Gandjbakhch, F, Foltz, V. [doi.org]

• Anterior Thigh Pain

  The patient reported that his symptoms had gradually developed over the last month before the fracture with pain localized anterior to the thigh. The patient interpreted the symptoms as local muscle damage. [ncbi.nlm.nih.gov]

Patients who have sacral stress fractures typically report pain that is vague and nonspecific, and the diagnostic workup is often extensive to rule out disk disease, sacroiliac joint dysfunction, and sacroiliitis. [chiro.org]

The optimal treatment modalities for navicular stress fractures in athletes is currently unknown for this season-ending injury. [ncbi.nlm.nih.gov]

Treatment is usually conservative and prognosis is favorable. We present a rare case of spontaneous displaced fracture of the entire ischium following revision THA that healed without requiring operative intervention. [ncbi.nlm.nih.gov]

Prognosis [ edit ] Anterior tibial stress fractures can have a particularly poor prognosis and can require surgery. [en.wikipedia.org]

Much attention has been given to the role of remodeling in the etiology of stress fracture; however, the role of bone modeling has received less attention. [ncbi.nlm.nih.gov]

Medline search of peer reviewed publications regarding stress fracture etiology, classification, treatment, and natural history. [doi.org]

- Epidemiology of metatarsal stress fractures versus tibial and femoral stress fractures during elite training. Review Article: Stress Fractures: Current Concepts. The long-term followup of soldiers with stress fractures. [wheelessonline.com]

Update on stress fractures in female athletes: epidemiology, treatment, and prevention. Curr Rev Musculoskelet Med. 2013 Jun. 6(2):173-81. [Medline]. Moreira CA, Bilezikian JP. Stress Fractures: Concepts and Therapeutics. [emedicine.medscape.com]

STUDY DESIGN: Descriptive epidemiologic study. [ncbi.nlm.nih.gov]

Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med. 2015 Jan. 43 (1):26-33. [Medline]. Tenforde AS, Sayres LC, McCurdy ML, Sainani KL, Fredericson M. [emedicine.com]

CONCLUSIONS: These data suggest an important role for SOST SNP rs1877632 and VDR SNPs rs10735810 and rs731236 in the pathophysiology of stress fracture. [ncbi.nlm.nih.gov]

Pathophysiology Bone normally responds to muscle pull (direction, intensity) or impact shock by deforming and then returning to normal shape ( 6 ). A complete cycle of bone turnover and remodeling and mineralization requires 3 to 4 months. [journals.lww.com]

Milner et al suggested that as a result of these differences, lower-extremity load distribution in members of the first group differed from that in the controls, increasing the former's likelihood of fractures. [8] Pathophysiology Bone, like muscle, is [emedicine.com]

Schwellnus MP, Jordaan G (1992) Does calcium supplementation prevent bone stress injuries? A clinical trial. Int J Sport Nutr 2(2):165–174 PubMed Google Scholar 13. Scully TJ, Besterman G (1982) Stress fracture—a preventable training injury. [doi.org]

Emphasis on balanced strength training in different muscle groups and proper swimming technique is essential to prevent these injuries. [ncbi.nlm.nih.gov]

Metzl tells you how to prevent and treat overuse injuries to keep you on the road. Advertisement - Continue Reading Below IDO: Stress Fractures Dr. Metzl tells you how to diagnose, treat, and prevent the dreaded stress fracture. [runnersworld.com]