Stress Fractures (Subscribe)

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Stress Fracture eMedicine PMR

Stress fractures are overuse injuries of bone. These fractures, which may be nascent or complete, result from repetitive subthreshold loading that, over time, exceeds the bone's intrinsic ability to repair itself. Briefhaupt originally described stress fractures in military recruits in 1855. Our present understanding of the pathophysiology of stress fractures and of bone's response to loading has been advanced by numerous studies investigating the epidemiology of stress fractures in military recruits and in athletes. Stress fractures most commonly occur in the lower limbs as a result of the ground-reaction forces (GRFs) that must be dissipated during running, walking, marching, or jumping. Stress fractures of the vertebral arch, upper limbs, ribs, and even the scapula have also been described and are not uncommon in some sports.
Synonyms and related keywords: fatigue fracture, insufficiency fracture, stress fracture of the lower limbs, lower limb stress fracture, overuse injury, overuse injuries, bone mineral density, disrupted bone homeostasis, inadequate bone repair, bone strain, pars interarticularis stress fracture, spondylolysis, neck of the femur stress fracture, femur neck stress fracture, tibia stress fracture, tibial stress fracture, stress fracture of the tibia, second metatarsal stress fracture
Jonathan C Reeser, MD 2007

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Stress Fracture eMedicine Radiology

Authors Sinha et al 2005
Contents - Introduction Differentials Radiograph CT Scan MRI Nuclear Medicine Angiography Intervention Pictures Bibliography
Background: Stress fractures refers to the failure of the skeleton to withstand submaximal forces over time.
Two entities of stress fracture have been defined. Fatigue fracture is classically described in military recruits and runners in which normal bone is exposed to repeated abnormal stresses. In insufficiency fracture, normal stress is applied to abnormal bone (eg, bone with osteoporosis or Paget disease).

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Stress Fracture Patient Information AAOS

A stress fracture is an overuse injury. It occurs when muscles become fatigued and are unable to absorb added shock. Eventually, the fatigued muscle transfers the overload of stress to the bone causing a tiny crack called a stress fracture.

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Stress Fractures eMedicine Orthopedics

Authors Martinez & Tsai. 2004
Contents - Introduction; Pathophysiology; Risk Factors; Epidemiology; Clinical Presentation; Differential Diagnoses; Diagnostic Testing And Grading Of Stress Fractures; Treatment, Prevention, And Complications; Bibliography
Synonyms and related keywords: fatigue fractures, march fractures, metatarsal stress fractures, overuse injury
The stress fracture is a common overuse injury seen in athletes and military recruits. The injury is usually seen in the lower extremities, but it has also been reported in the upper extremities and ribs. The most common locations for stress fractures include the tibia, metatarsals, fibula, and navicular bones. Less common locations include the femur, pelvis, and sacrum.

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Stress Fractures Wheeless

occur as the result of repetitive loading below yeild strength & are most common in lower extremity (metatarsals> calcaneus> tibia)
Wheeless' Textbook of Orthopaedics

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