Edit concept Question Editor Create issue ticket

Stress Fracture

Fatigue Fracture


Presentation

  • A review of other similar cases previously published is also presented.[ncbi.nlm.nih.gov]
  • 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]
  • We present a case of a 15-year-old male wrestler without overt risk factors, who presented with a transverse stress fracture in the middle third of the radial diaphysis.[ncbi.nlm.nih.gov]
  • 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]
  • Clinical presentation was mainly low back pain, pelvic pain, and abnormal gait.[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]
Aspiration
  • There is a need for research on the cause, management, and prevention of these injuries as they lead to significant morbidity and critical time away from sport for these aspiring athletes.[ncbi.nlm.nih.gov]
  • The effect of concentrated bone marrow aspirate in operative treatment of fifth metatarsal stress fractures; a double-blind randomized controlled trial. BMC Musculoskelet Disord . 2015 Aug 20. 16:211. [Medline] .[emedicine.medscape.com]
Chest Wall Pain
  • A middle-aged premenopausal woman presented with 3 months of right chest wall pain after beginning a new weight training programme.[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]
  • Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone.[ncbi.nlm.nih.gov]
  • Stress fractures should be considered when a patient who had a considerable severe deformity of the knee preoperatively complains of foot pain on the affected side.[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]
  • 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]
Thigh Pain
  • A 14-year-old boy was referred to the orthopaedic clinic by his general practitioner, reporting of a 6-week history of left thigh pain. Clinical examination was unremarkable. Radiographs demonstrated a periosteal reaction at the proximal femur.[ncbi.nlm.nih.gov]
  • Femoral neck stress fractures should be considered in the differential diagnosis of transsexual patients receiving hormone treatment with non-specific groin/thigh pain following exercise.[ncbi.nlm.nih.gov]
  • 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]
  • The presence of groin or thigh pain in a patient taking bisphosphonates should alert the physician to the possibility of insufficiency fracture of the proximal femur, and plain radiographs should be obtained.[ncbi.nlm.nih.gov]
Severe Osteoporosis
  • 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]
  • In patients with severe osteoporosis, tracer uptake by the bone may be too low, and false-negative results may be produced. Bone neoplasms can have a tracer uptake pattern similar to that of stress fractures.[emedicine.com]
Anterior Knee Pain
  • However, in treating elite athletes, legitimate concerns exist regarding the surgical disruption of the extensor mechanism and the risk of anterior knee pain associated with intramedullary nail use.[ncbi.nlm.nih.gov]
  • 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]
Compulsive Behavior
  • If it is not treated successfully, the compulsive behaviors may cause extreme stress for children and their parents.[ncbi.nlm.nih.gov]
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]
Quadriplegia
  • […] process) (closed) 805.8 with hematomyelia - see Fracture, vertebra, by site, with spinal cord injury injury to paralysis - see Fracture, vertebra, by site, with spinal cord injury paraplegia - see Fracture, vertebra, by site, with spinal cord injury quadriplegia[icd9data.com]
Radiculopathy
  • This case is rare in that L5 radiculopathy was complicated by a sacral stress fracture. Clinicians should suspect sacral stress fractures when RA or osteoporosis is present in women who experiences lumbar pain and lumbar radiculopathy.[ncbi.nlm.nih.gov]
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]
  • The optimal treatment modalities for navicular stress fractures in athletes is currently unknown for this season-ending injury.[ncbi.nlm.nih.gov]
  • Conflicting evidence currently exists on the effect of cross sex hormone treatment on bone density, with no literature suggesting a link between hormone treatment in gender reassignment and stress fractures.[ncbi.nlm.nih.gov]
  • A preventive treatment was implanted with good results on pain improvement and functional capacities.[ncbi.nlm.nih.gov]
  • After the failure of conservative treatment, the patient exhibited good results with osteosynthesis with a plate and screws, with no need for a bone graft.[ncbi.nlm.nih.gov]

Prognosis

  • 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]
  • 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]
  • It is related to worse lifespan symptoms and prognosis. Therefore, the treatment of OCD in children and adolescent has gained importance.[ncbi.nlm.nih.gov]
  • Posterior tibial stress fractures are more frequent than anterior tibial stress fractures, and they are considered to have a good prognosis for returning to sports; cases leading to a complete fracture are rare.[ncbi.nlm.nih.gov]
  • A retrospective analysis was made of events that may cause stress fracture such as traumatic episodes or sports activities, spinal level, radiologic findings, stage of spondylolysis, treatment, and prognosis.[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]
  • Chronic recurrent multifocal osteomyelitis (CRMO) is an extremely rare and most severe form of chronic nonbacterial osteomyelitis of unknown etiology.[ncbi.nlm.nih.gov]
  • For pedicle fractures the literature review reports several different etiologies: spontaneous fractures, hereditary fractures or stress-related fractures.[ncbi.nlm.nih.gov]
  • Although pelvic and mechanic lesions of the soft tissues are most responsible for the etiology, sacral fracture is also one of the rare causes.[ncbi.nlm.nih.gov]
  • The following case report demonstrates how etiology and management of a rib stress fracture in an AS rower differs in comparison to able-body rowers.[ncbi.nlm.nih.gov]

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]
Sex distribution
Age distribution

Pathophysiology

  • Sacral stress fracture during pregnancy is an uncommon condition with unclear pathophysiology, presenting with non-specific symptoms and clinical findings.[ncbi.nlm.nih.gov]
  • 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]
  • OBJECTIVE: To apply a preventive OMT protocol for cross-country athletes to reduce the incidence of stress fractures. DESIGN: Cohort study.[ncbi.nlm.nih.gov]
  • This suggests a high utilization of resources for a potentially preventable injury.[ncbi.nlm.nih.gov]
  • The objective of this study was to systematically review the best evidence on the use of insoles as a method of stress fracture prevention in a high-risk population.[ncbi.nlm.nih.gov]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!