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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.


Related in: MedlinePlus

Scaphoid view radiograph of the left wrist in a gymnast with continued radial wrist pain demonstrating grade III scaphoid waist stress fracture
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Fig2: Scaphoid view radiograph of the left wrist in a gymnast with continued radial wrist pain demonstrating grade III scaphoid waist stress fracture

Mentions: Two thirds of initial radiographs are normal early in the course of a stress fracture, but half ultimately prove positive once healing begins to occur making standard radiographs specific but not sensitive [26]. Even after healing has begun to occur, radiographic findings can be subtle and may be easily overlooked [26, 27]. FigureĀ 2 demonstrates a radiograph of a subacute stress fracture of the scaphoid waist in a gymnast with chronic wrist pain.Fig. 2


Taking a holistic approach to managing difficult stress fractures
Scaphoid view radiograph of the left wrist in a gymnast with continued radial wrist pain demonstrating grade III scaphoid waist stress fracture
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig2: Scaphoid view radiograph of the left wrist in a gymnast with continued radial wrist pain demonstrating grade III scaphoid waist stress fracture
Mentions: Two thirds of initial radiographs are normal early in the course of a stress fracture, but half ultimately prove positive once healing begins to occur making standard radiographs specific but not sensitive [26]. Even after healing has begun to occur, radiographic findings can be subtle and may be easily overlooked [26, 27]. FigureĀ 2 demonstrates a radiograph of a subacute stress fracture of the scaphoid waist in a gymnast with chronic wrist pain.Fig. 2

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.


Related in: MedlinePlus