Presentation
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]
Entire Body System
-
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 & Teeth
-
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]
Musculoskeletal
-
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]
If this is not sounding quite like your problem, visit the top of foot pain section or the foot pain diagnosis section for help working out what is wrong. [foot-pain-explored.com]
These fractures were at one time referred to as “March Fractures” in soldiers, who developed foot pain after long periods of marching. [podiatrynetwork.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]
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]
-
Buttock Pain
A 60-year-old Japanese woman with severe osteoporosis presented with a history of right buttock pain and right lateral lower leg pain in an L5 distribution. [ncbi.nlm.nih.gov]
-
Metatarsalgia
Morton neuroma Plantar fasciitis may cause pain or tenderness along the fascia Metatarsalgia may cause tenderness on metatarsal heads Morton neuroma may cause pain (with compression) between the third and fourth metatarsals Femoral or sacral Running [aafp.org]
Neurologic
-
Anterior Thigh Pain
When presented with a patient with non-traumatic, diffuse anterior thigh pain in an individual of this age, who is participating in high-level endurance running; clinicians should consider the possibility that the cause of the symptoms may be a femoral [ncbi.nlm.nih.gov]
Urogenital
-
Pelvic Pain
Clinical presentation was mainly low back pain, pelvic pain, and abnormal gait. [ncbi.nlm.nih.gov]
Workup
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]
Treatment
When conservative treatment fails, intramedullary nailing is the mainstay of treatment. However, nonunion is a serious complication. [ncbi.nlm.nih.gov]
Prognosis
According to the literature, almost all cases of stress fracture in the first rib have a relatively good prognosis, and there are only a few reports of TOS occurring as a rare late complication. [ncbi.nlm.nih.gov]
Etiology
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
STUDY DESIGN: Descriptive epidemiologic study. [ncbi.nlm.nih.gov]
- 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]
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]
Pathophysiology
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]
Prevention
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]