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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

Post-fixation radiograph of a collegiate soccer player with medial malleolar stress fracture
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Fig6: Post-fixation radiograph of a collegiate soccer player with medial malleolar stress fracture

Mentions: All complete fractures at high-risk sites should receive strong consideration for surgical treatment. Surgical fixation should be considered for high-risk stress fractures for several reasons. These include expediting healing of the fracture to allow earlier return to full activity as well as to minimize the risk of non-union, delayed union, and re-fracture [4, 7, 21, 22]. Finally, surgical intervention may be necessary to prevent catastrophic fracture progression such as in the case of the tension-side of the femoral neck (Fig. 5) or medial malleolar stress fracture (Fig. 6).Fig. 5


Taking a holistic approach to managing difficult stress fractures
Post-fixation radiograph of a collegiate soccer player with medial malleolar stress fracture
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig6: Post-fixation radiograph of a collegiate soccer player with medial malleolar stress fracture
Mentions: All complete fractures at high-risk sites should receive strong consideration for surgical treatment. Surgical fixation should be considered for high-risk stress fractures for several reasons. These include expediting healing of the fracture to allow earlier return to full activity as well as to minimize the risk of non-union, delayed union, and re-fracture [4, 7, 21, 22]. Finally, surgical intervention may be necessary to prevent catastrophic fracture progression such as in the case of the tension-side of the femoral neck (Fig. 5) or medial malleolar stress fracture (Fig. 6).Fig. 5

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