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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

Three-dimensional CT scan of the right foot demonstrating grade III stress fracture of the central one third of the dorsal navicular
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Fig3: Three-dimensional CT scan of the right foot demonstrating grade III stress fracture of the central one third of the dorsal navicular

Mentions: Computed tomography (CT) delineates the bone well and is useful when the diagnosis of a stress injury is difficult, particularly in the case of tarsal navicular stress fractures (Fig. 3) as well as linear stress fractures that may occur in the tibia [4, 27, 30, 31]. CT scanning is useful for demonstrating evidence of healing by clearly demonstrating the periosteal reaction and the absence of a discrete lucency or sclerotic fracture line [4, 27, 31]. It is also helpful in determining if the fracture is complete or incomplete.Fig. 3


Taking a holistic approach to managing difficult stress fractures
Three-dimensional CT scan of the right foot demonstrating grade III stress fracture of the central one third of the dorsal navicular
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig3: Three-dimensional CT scan of the right foot demonstrating grade III stress fracture of the central one third of the dorsal navicular
Mentions: Computed tomography (CT) delineates the bone well and is useful when the diagnosis of a stress injury is difficult, particularly in the case of tarsal navicular stress fractures (Fig. 3) as well as linear stress fractures that may occur in the tibia [4, 27, 30, 31]. CT scanning is useful for demonstrating evidence of healing by clearly demonstrating the periosteal reaction and the absence of a discrete lucency or sclerotic fracture line [4, 27, 31]. It is also helpful in determining if the fracture is complete or incomplete.Fig. 3

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