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
- Fatigue
Stress fractures are classified as insufficiency and fatigue fractures. [ncbi.nlm.nih.gov]
Fatigue fracture of vertebra, lumbar region, initial encounter for fracture Or: 2015/16 ICD-10-CM M48.47XA Fatigue fracture of vertebra, lumbosacral region, initial encounter for fracture Or: 2015/16 ICD-10-CM M48.48XA Fatigue fracture of vertebra, sacral [icd9data.com]
- Inflammation
The bone healing process has three overlapping stages: inflammation, bone production and bone remodeling. Inflammation starts immediately after the bone is fractured and lasts for several days. [foothealthfacts.org]
Medications for Stress Fractures Anti-inflammatory medications such as ibuprofen are useful to help with inflammation and pain. [emedicinehealth.com]
Repetitive traction on the medial tibial crest, results in myofascial strain, periosteal inflammation, and bony stress reaction. [chiroup.com]
- Crying
Stress fracture treatment Once you have a firm diagnosis of “stress fracture”, it’s time to rest (after you stop sobbing – don’t worry, I’d cry too). The only thing you can do is rest – there’s not much else that will speed the healing process. [strengthrunning.com]
Gastrointestinal
- Overeating
Clinical evaluation demonstrates diffuse tenderness over the posteromedial tibial border. Prolonged stress may generate a periosteal reaction detectable as a “rough” or “bumpy” feel upon palpation. [chiroup.com]
The rower's gradual return to full training was further impacted by obligatory use of the chest strap, which directly applied pressure over the injured area. [ncbi.nlm.nih.gov]
Diffuse swelling of the skin over the forefoot. How it affects your running The pain from a metatarsal stress fracture is usually felt on the top of the foot, over the affected metatarsal bone. [runnersrescue.com]
Ramp your running back up over the next several weeks and your fitness will return as well, I promise. [runtothefinish.com]
Skin
- Ulcer
If you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or bleeding, talk with your provider before using these medicines. DO NOT take more than the amount recommended on the bottle. [medlineplus.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]
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]
[…] 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]
- 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]
- Bone Disorder
Nutritional deficienciesSleep deprivationCollagen abnormalitiesMetabolic 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]
- 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]
- Elbow Pain
Clinicians should consider the diagnosis of a supracondylar process fracture with or without neurovascular compression when examining athletes with otherwise unexplained arm or elbow pain. [ncbi.nlm.nih.gov]
Neurologic
- Confusion
Stress fractures are entities that can be confused with an agressive process. MR iscurrently the most sensitive and specific imaging method for its diagnosis. [ncbi.nlm.nih.gov]
A biopsy of these lesions may at times result in unwarranted therapy if the histopathology is confused with malignancy. [emedicine.com]
Acting confused. The child may not know where he or she is. Seek Care Now Based on your answers, you may need care right away. The problem is likely to get worse without medical care. [northshore.org]
The pain is similar shin splints or a heel spur and oftentimes can even be confused for them at first, but a stress fracture is even more common and more problematic if left untreated. [draxe.com]
- Abnormal Gait
Clinical presentation was mainly low back pain, pelvic pain, and abnormal gait. [ncbi.nlm.nih.gov]
The pain of a stress fracture could cause you to run with an abnormal gait—which puts you at risk for additional injuries. [philly.com]
- Unable to Walk
He participated in a 10-mile walking contest without any training beforehand. Gradually pain developed in the lower leg and in the end he was unable to walk any further. The x-rays show a stress fracture of the lower tibia. [radiologyassistant.nl]
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
The optimal treatment modalities for navicular stress fractures in athletes is currently unknown for this season-ending injury. [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]
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
- 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]
STUDY DESIGN: Descriptive epidemiologic study. [ncbi.nlm.nih.gov]
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]
Though rarely considered, muscle strength plays an important role in the prevention of stress fractures. [running.competitor.com]