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Taking a holistic approach to managing difficult stress fractures

View Article: PubMed Central - PubMed

ABSTRACT

Stress fractures and other bony stress injuries occur along a spectrum of severity which can impact treatment and prognosis. When treating these injuries, it should be borne in mind that no two stress fractures behave exactly alike. Given that they are not a consistent injury, standardized treatment protocols can be challenging to develop. Treatment should be individualized to the patient or athlete, the causative activity, the anatomical site, and the severity of the injury. A holistic approach to the treatment of the most difficult stress fractures should be taken by orthopedists and sports medicine specialists. This approach is necessary to obtain optimal outcomes, minimize loss of fitness and time away from sports participation, and decrease the risk of recurrence.

No MeSH data available.


Athlete demonstrates a single-leg hop test. The athlete is asked to perform three hops in which the foot completely leaves the ground
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Fig1: Athlete demonstrates a single-leg hop test. The athlete is asked to perform three hops in which the foot completely leaves the ground

Mentions: Pain that is initially present only during activity is common in patients presenting with a stress fracture. Symptom onset is usually insidious, and typically, patients cannot recall a specific injury or trauma to the affected area. If activity level is not decreased or modified, symptoms persist or worsen [3, 17, 23]. Those who continue to train without modification of their activities may develop pain with normal daily activity and potentially sustain a complete fracture [24]. Physical examination reveals reproducible point tenderness with direct palpation of the affected bone site. There may or may not be swelling or a palpable soft tissue or bone reaction. Lower extremity stress fractures will commonly display reproduction of pain with single-leg hop testing (Fig. 1), log roll testing for injury of the femoral neck, fulcrum testing for the long bones, and tuning fork testing for occult fractures [4, 21, 24].Fig. 1


Taking a holistic approach to managing difficult stress fractures
Athlete demonstrates a single-leg hop test. The athlete is asked to perform three hops in which the foot completely leaves the ground
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5016928&req=5

Fig1: Athlete demonstrates a single-leg hop test. The athlete is asked to perform three hops in which the foot completely leaves the ground
Mentions: Pain that is initially present only during activity is common in patients presenting with a stress fracture. Symptom onset is usually insidious, and typically, patients cannot recall a specific injury or trauma to the affected area. If activity level is not decreased or modified, symptoms persist or worsen [3, 17, 23]. Those who continue to train without modification of their activities may develop pain with normal daily activity and potentially sustain a complete fracture [24]. Physical examination reveals reproducible point tenderness with direct palpation of the affected bone site. There may or may not be swelling or a palpable soft tissue or bone reaction. Lower extremity stress fractures will commonly display reproduction of pain with single-leg hop testing (Fig. 1), log roll testing for injury of the femoral neck, fulcrum testing for the long bones, and tuning fork testing for occult fractures [4, 21, 24].Fig. 1

View Article: PubMed Central - PubMed

ABSTRACT

Stress fractures and other bony stress injuries occur along a spectrum of severity which can impact treatment and prognosis. When treating these injuries, it should be borne in mind that no two stress fractures behave exactly alike. Given that they are not a consistent injury, standardized treatment protocols can be challenging to develop. Treatment should be individualized to the patient or athlete, the causative activity, the anatomical site, and the severity of the injury. A holistic approach to the treatment of the most difficult stress fractures should be taken by orthopedists and sports medicine specialists. This approach is necessary to obtain optimal outcomes, minimize loss of fitness and time away from sports participation, and decrease the risk of recurrence.

No MeSH data available.