Stress fractures in runners.

Frank McCormick, Benedict U Nwachukwu, Matthew T Provencher

Journal: Clinics in sports medicine 2012;31(2):291-306

PMID: 22341018

Full Text on Elsevier Science View on PubMed

Abstract

Stress fractures are a relatively common entity in athletes, in particular, runners. Physicians and health care providers should maintain a high index of suspicion for stress fractures in runners presenting with insidious onset of focal bone tenderness associated with recent changes in training intensity or regimen. It is particularly important to recognize “high-risk” fractures, as these are associated with an increased risk of complication. A patient with confirmed radiographic evidence of a high-risk stress fracture should be evaluated by an orthopedic surgeon. Runners may benefit from orthotics, cushioned sneakers, interval training, and vitamin/calcium supplementation as a means of stress fracture prevention.

Address: Orthopaedics Department, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

DOI: 10.1016/j.csm.2011.09.012

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MeSH Terms: Athletic Injuries, Bone Density, Diagnosis, Differential, Diagnostic Imaging, Female, Fractures, Stress, Humans, Leg Injuries, Male, Risk Factors, Running, Sex Factors