A Preliminary Study of Stress Fractures Among Paramilitary Trainees

Prasanna, C; N, Vijay Baba; Rajinikanth, S

doi:10.14260/jemds/2014/2174

jemds

2014

DOI: 10.14260/jemds/2014/2174

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A Preliminary Study of Stress Fractures Among Paramilitary Trainees

C Prasanna¹,

Vijay Baba N²,

S Rajinikanth³

Abstract: to find the incidence of stress fractures among fresh trainees. All patients presenting with symptoms suggestive of stress fractures were evaluated. A total of 5 cases out of a total of 2000 trainees (0.25 %) were confirmed as stress fractures based on clinical and radiological findings.

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Cited by 3 publications

References 22 publications

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Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

Takkar¹,

Prabhakar

2019

Medical Journal Armed Forces India

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Background: Stress fractures (SFs) occur because of repetitive submaximal stresses to the bone over a period of time. SFs cause an economic loss to the organization and to the individuals who get invalided out of army because of SFs. This study was conducted to determine the incidence, distribution, onset of SFs, and invalidment patterns due to SFs.Methods: This prospective study was carried out among recruits undergoing training at training centres in a cantonment of Central India. The recruits enrolled were followed up through their training period for occurrence of SF. On occurrence of SF, the clinical features, site of bone involved, and the weeks of completed military training were noted. The SFs were graded into four grades based on clinicoradiological features and managed accordingly.Results: A total of 8974 recruits were enrolled into the study, of which 208 recruits suffered SFs. The commonest bone involved was the tibia (86.5%), commonest site being the proximal one-third of the tibia shaft (46.2%). Average week of developing SF was the 15th week of training. Seven recruits were invalided out of army because of SFs, the commonest cause being femoral neck SFs. Conclusion:Prevention is the best approach for SFs. It is suggested to increase the intensity of training gradually over the first 16 weeks and recruits are to be given a training pause at around the 12th week for healing of stressed bones just before the peak time of occurrence of SFs. Femoral neck SFs are the commonest SFs responsible for invalidment of recruits.

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Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

Takkar¹,

Prabhakar

2019

Medical Journal Armed Forces India

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Bilateral Tibial Stress Fractures and Osteoporosis in a Young Patient

Gürbüz

Gür

2021

Sports Health: A Multidisciplinary Approach

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Stress fractures result from microscopic bone injury due to repetitive submaximal stress and include fatigue and insufficiency fracture components. Fatigue fractures generally occur in runners and athletes and are caused by abnormal physical load on the bone. On the other hand, insufficiency fractures are generally seen in the elderly secondary to osteoporosis, typically involving the pelvis and surrounding bones. Insufficiency fracture occurs as a result of normal loading in the abnormal bone. In this case report, we describe a young patient with bilateral tibial stress fractures with both fatigue and insufficiency components.

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Stress Fractures of the Lower Limb in Military Personnel (Literature Review)

Turchyn,

Omelchenko,

Liabakh

2024

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Summary. Stress fractures are a common pathology among military personnel, occurring with a frequency of 1.5% to 31%, depending on the studied contingents. Fractures of the lower limbs occur more often, leading to impaired function and a long-term decrease in working capacity, which determines the medical, social, and economic significance of the problem. The issues of timely diagnosis and optimal treatment of stress fractures of the lower extremities in order to minimize the time of return to military service remain undefined. Objective: an analysis of the literature devoted to stress fractures of the lower limb in military personnel. Material and Methods. A search in PubMed databases from 1952 to 2023 using the search strategy “stress fractures in militaries” was conducted. Results. 671 publications were found and a significant increase in their number (249) over the past 7 years was noted; meta-analyses were 4 and randomized controlled studies were 28. Other publications belong to III and IV levels of evidence. Among all publications, only 401 were related to stress fractures of the lower extremities in military personnel. Conclusions. Stress fractures occur when increased and repeated load is applied to normal bone, which leads to microdamages and fractures. The etiology of stress fractures is multifactorial. The main complaints are localized pain with or without swelling and tenderness on palpation, aggravated by physical exertion. Early diagnosis is critical and is based on a careful history, orthopedic examination, and evaluation of appropriate imaging modalities. Classification of stress fractures based on type, location, and risk is important for determining treatment strategy. The analysis of the literature indicates a lack of protocols for the treatment and prevention of stress fractures of the lower extremities in military personnel. However, modern literature in this area is mostly of low quality and consists of studies of a small sample. This necessitates further research, especially in terms of prevention and surgical treatment.

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A Preliminary Study of Stress Fractures Among Paramilitary Trainees

Abstract: to find the incidence of stress fractures among fresh trainees. All patients presenting with symptoms suggestive of stress fractures were evaluated. A total of 5 cases out of a total of 2000 trainees (0.25 %) were confirmed as stress fractures based on clinical and radiological findings.

Cited by 3 publications

References 22 publications

Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

Bilateral Tibial Stress Fractures and Osteoporosis in a Young Patient

Stress Fractures of the Lower Limb in Military Personnel (Literature Review)

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