Stress Fractures in Athletes

Fredericson, Michael; Jennings, Fábio; Beaulieu, Christopher F.; Matheson, Gordon O.

doi:10.1097/rmr.0b013e3180421c8c

Cited by 310 publications

(288 citation statements)

References 123 publications

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“…İstirahat ve yürüyüş sırasında ağrı varsa geçici olarak koltuk değnekleri kullanımı ile yükten kurtarma önerilebilir. Yüzme, havuz egzersizleri, eliptik ve statik bisiklet gibi direkt yükün azaltıldığı aktiviteler ile kuvvet ve kondisyon korun--maya çalışılır (2). Fiziksel aktiviteye dönüşe ise kademeli olarak izin verilmektedir.…”

Section: Discussionunclassified

“…Lokal kemik has--sasiyeti düzeldikten bir hafta sonra spor--cu koşu hızının ve mesafesinin yarısı ile aktiviteye başlayabilir. Antrenman için ge--rekli mesafe koşulabildiğinde hız arttırılabilir (2). Bu olguda, tam iyileşme sağlanmadan spora dönüş nedeniyle üç…”

Section: Discussionunclassified

“…Kemik tarafın--dan tolere edilen maksimum güçten daha düşük bir güce tekrarlayıcı şekilde maruz kalınması, kemik yapısında bozulmaya neden olmakta ve kısmi veya tam kırık or--taya çıkabilmektedir (2). Stres kırıkları tüm spor yaralanmalarının %0.7--20'sini oluşturmaktadır ve en sık tibia, metatarsal kemikler ve fibulada görülmektedir (3).…”

Section: Anahtar Sözcükler: Sporcu Pelvis Stres Kırığı 25--oh Vitamunclassified

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Stress Fracture of the Pubic Ramus in a Female Long Distance Runner: A Case Report

Şenışık

Ergün

2017

TurkJSportsMed

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Stress fractures are overuse injuries of the bone caused by continuous repetitive submaximal stress over time. They constitute 0.7--20% of all sports injuries and are mainly seen in tibia, metatarsal bones and fibula. Pelvic stress fractures are rare (1--2%) and mostly seen in female long distance runners. Common complaints are groin, hip and thigh pain increasing with weight bearing activities. A 41 years old recreational female runner was admitted to the clinic with chronic groin pain lasting for about eight months. She was performing running training on hard surfaces at high intensity for a long time and firstly she was admitted to the Orthopaedic and Traumatology clinic with groin pain. MR images have shown non--displaced fracture of the right ischium. There has been no relief with medication and rest, then the athlete was admitted to another clinic. X--ray and bone scintigraphy confirmed fracture line at the right superior pubic ramus and right ischium. Blood analysis has revealed low level of 25--OH vitamin D (13 ng/ml). Vitamin D3 supplementation has been prescribed for three months, and then the athlete has started 1 km daily slow running trainings. Due to exacerbation of pain during running, athlete was admitted to our clinic. Physical examination revealed normal posture and range of motion, and there were no swelling, inflammation and neurological signs and symptoms. As pelvis MRI and CT images confirmed healing, and 25--OH vitamin D level returned to normal limits, the athlete has then started trainings. Training volume has been increased gradually. Full recovery was achieved at the end of the third month, as there were no complaints during daily activities and training. Stress fractures of the pelvis should be included in the differential diagnosis of female distance runners who have prolonged groin pain increasing with exercise. Detailed medical history, phys--ical examination, blood tests, and radiological images are keys to reach certain diagnosis. Treatment plan should include risk factor analysis and progressive training programs.

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Section: Discussionunclassified

Section: Anahtar Sözcükler: Sporcu Pelvis Stres Kırığı 25--oh Vitamunclassified

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Stress Fracture of the Pubic Ramus in a Female Long Distance Runner: A Case Report

Şenışık

Ergün

2017

TurkJSportsMed

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“…1). Therefore, it gives a clue to accompanying ligament lesions and grades the lesion at the distal tibiofibular and ankle joint as being stable or unstable (2)(3)(4)(5)(6)(7). In case of supination-adduction trauma (Weber A type), the presence of an oblique (push off) fracture of the medial malleolus includes a major lateral lesion.…”

Section: Discussionmentioning

confidence: 99%

Proceedings of the Foot and Ankle meeting, Leiden, 25.03.2011

Gielen¹,

Dyck²,

Veryser

2015

Journal of the Belgian Society of Radiology

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“…Suggestive changes were seen on x-ray of one patient ( Figure 1) in rest the diagnosis was established only by MRI. 19 Imaging revealed a stress fracture of the medial femoral condyle. Patients were explained about the diagnosis and the potential benefits and harms of treatment options.…”

Section: Methodsmentioning

confidence: 99%