Stress Fracture of the Lateral Cuneiform Bone

2013 ◽  
Vol 103 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Tamara Vukic ◽  
Alan Ivkovic ◽  
Sasa Jankovic
Keyword(s):  
Stress Fracture ◽  
Military Personnel ◽  
Similar Case ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Foot Pain ◽  
Review Of The Literature ◽  
Cuneiform Bone

Stress fractures are common overuse injuries of the bone that are most often seen in athletes and military personnel. These types of injuries seem to be commonly missed or delayed in diagnosis. Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone. A review of the literature failed to find a similar case. (J Am Podiatr Med Assoc 103(4): 337–339, 2013)

Scintigraphic detection of sequential symmetrical metatarsal stress fractures

1995 ◽  
Vol 85 (3) ◽  
pp. 162-165 ◽  
Author(s):  
NH Patel ◽  
AF Jacobson ◽  
J Williams
Keyword(s):  
Bone Scintigraphy ◽  
Stress Fracture ◽  
Bone Scan ◽  
Stress Fractures ◽  
Foot Pain ◽  
Plain Radiographs ◽  
Three Phase ◽  
Second Metatarsal ◽  
Bone Abnormalities

A patient with complaints of right foot pain and previous normal radiographs had an abnormal three-phase bone scan consistent with a second metatarsal stress fracture. Subsequent radiographs confirmed this diagnosis. Two months later, the patient developed pain in his left foot, and again initial radiographs were noncontributory. A later bone scan revealed a left second metatarsal stress fracture. The results in this case reemphasize the value of bone scintigraphy in patients with foot pain and no bone abnormalities on plain radiographs.

Prediction of Metatarsal Stress Fracture Location: Parametric Analysis of the Foot Using FEA

2011 ◽  
Author(s):  
Raymond G. Chen ◽  
Adam Edelhauser ◽  
Charles J. Gatt ◽  
Noshir A. Langrana
Keyword(s):  
Ultimate Strength ◽  
Stress Fracture ◽  
Military Personnel ◽  
Parametric Analysis ◽  
Stress Fractures ◽  
Sports Activity ◽  
Training Conditions ◽  
Metatarsal Bones ◽  
Bending Stresses ◽  
The Military

Metatarsal stress fractures occur in 1.0–2.6% of all NCAA athletes and 1.0–1.7% of all soldiers in the military (1). The metatarsal bones are susceptible to stress fractures due to repeated musculoskeletal loading from running, jumping and sudden movements during sports activity and extreme training conditions for military personnel. The loads create bending stresses on the metatarsals at sub-ultimate strength values that create microcracks on the bones, which may propagate into stress fractures (2) if proper precautions are not taken.

Rib Stress Fractures in Elite Rowers

1998 ◽  
Vol 26 (4) ◽  
pp. 516-519 ◽  
Author(s):  
Kristine A. Karlson
Keyword(s):  
Stress Fracture ◽  
Stress Fractures ◽  
Review Of The Literature ◽  
Serratus Anterior ◽  
Long Distance ◽  
Heavy Load ◽  
Distance Training ◽  
Elite Rowers ◽  
External Oblique ◽  
Pull Through

The potential cause of stress fracture of the rib in elite rowers was examined by a retrospective review of 14 fractures in 10 patients. Fractures occurred on the antero- to posterolateral aspects of ribs 5 through 9 and were most often associated with long-distance training and heavy load per stroke. A review of the literature yields striking similarities between these stress fractures and fractures caused by cough. It is suggested that actions of the serratus anterior and external oblique muscles on the rib cause stress fracture because of the repetitive bending forces in both rowing and coughing. A technique involving less use of both muscles through a truncated arm pull-through and a decreased layback position at the end of the stroke, and equipment changes to decrease length of the lever arm, should yield a decreased risk of rib stress fractures in rowing.

scholarly journals The Prevalence and Body Site Distribution of Stress Fractures among Female Combat Soldiers in the Israeli Defense Forces: A Cross-Sectional Study

2017 ◽  
Vol 1 (4) ◽  
pp. 1-4 ◽  
Author(s):  
Oren Schwartz ◽  
Saeed Abdallah ◽  
Sergey Kutikov ◽  
Cara H. Olsen ◽  
Israel Dudkiewicz
Keyword(s):  
Stress Fracture ◽  
Distal Tibia ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Sectional Study ◽  
Cross Sectional ◽  
Site Distribution ◽  
Intervention Policy

One of the most troublesome overuse injuries is stress fractures, for which female gender is a major risk factor. In 2015, the Israeli government opened identical combat duties for both genders. The purpose of this study is to provide a detailed report regarding the prevalence and characteristics of stress fractures in females that will serve as an evidence-based platform for future policy planning and implementation regarding female integration in combat units. This is a report of a cross-sectional study of 2223 female soldiers recruited to combat units between 2010 and 2013. Data were collected from the Israeli Defense Force's (IDF's) computerized medical consultation records package. Descriptive and analytic statistics were performed to obtain and analyze results. The overall stress fractures rate was 11.6% (258 soldiers). The most frequent site for stress fracture was the distal tibia (215 cases, 83%). The average lost training days due to a stress fracture were 26.6 days. The risk for developing a stress fracture was 2.15 (215%) times higher in the noninfantry group than in the infantry group, ( p = 0.0232, 95% confidence interval 1.346, 4.536). The rate of stress fractures and the consequent lost training days in the IDF are high and necessitate the planning and implementation of a comprehensive intervention policy to reduce overuse injuries and stress fracture rates among female warriors.

scholarly journals A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Jessica M. Kohring ◽  
Heather M. Curtiss ◽  
Andrew R. Tyser
Keyword(s):  
Stress Fracture ◽  
Stress Fractures ◽  
Division I ◽  
Review Of The Literature ◽  
Rare Injury ◽  
Collegiate Level ◽  
Repetitive Loading ◽  
High Level ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Scaphoid stress fractures are rare injuries that have been described in young, high-level athletes who exhibit repetitive loading with the wrist in extension. We present a case of an occult scaphoid stress fracture in a 22-year-old female Division I collegiate shot-putter. She was successfully treated with immobilization in a thumb spica splint for 6 weeks. Loaded wrist extension activities can predispose certain high-level athletes to sustain scaphoid stress fractures, and a high index of suspicion in this patient population may aid prompt diagnosis and management of this rare injury.

Stress fracture in a ceratopsian phalanx

1988 ◽  
Vol 62 (2) ◽  
pp. 302-303 ◽  
Author(s):  
Bruce M. Rothschild
Keyword(s):  
Fatigue Fracture ◽  
Stress Fracture ◽  
Fracture Stress ◽  
Stress Fractures ◽  
Periosteal Reaction ◽  
Stress Fatigue

A prominent anterior bulge on a ceratopsian dinosaur phalanx was examined for evidence of infection or stress (fatigue) fracture. The presence of a knife-slice type radiolucency, associated with periosteal reaction, was pathognomonic (diagnostic) for a stress fracture. Stress fractures have previously been recognized only in humans, racing greyhounds, and horses.

Evaluation of Tarsal Navicular Stress Fracture Fixation Using Intraoperative O-arm Computed Tomography

2014 ◽  
Vol 7 (6) ◽  
pp. 515-521 ◽  
Author(s):  
Andrew R. Hsu ◽  
Simon Lee
Keyword(s):  
Computed Tomography ◽  
Stress Fracture ◽  
Guide Wire ◽  
Weight Bearing ◽  
Fracture Site ◽  
Stress Fractures ◽  
Functional Impairments ◽  
Intraoperative Ct ◽  
Intraoperative Computed Tomography ◽  
Anatomic Reduction

Stress fractures of the tarsal navicular are high-risk injuries that can result in displacement, avascular necrosis, malunion, and nonunion. Delayed diagnosis and improper treatment can lead to long-term functional impairments and poor clinical outcomes. Increased shear stress and decreased vascularity in the central third of the navicular can complicate bony healing with often unpredictable return times to activity using conservative management in a non-weight-bearing cast. There recently has been increasing debate regarding the effectiveness of treatment options with a trend toward surgical management to anatomically reduce and stabilize navicular stress fractures in athletes. However, anatomic reduction and fixation of the navicular can be difficult despite direct visualization and intraoperative fluoroscopy. We report a case of a chronic navicular stress fracture in a high-level teenage athlete treated with open reduction internal fixation (ORIF) and calcaneus autograft using intraoperative computed tomography (CT) (O-arm®, Medtronic, Minneapolis, MN) for real-time evaluation of fracture reduction and fixation. Intraoperative CT was fast, reliable, and allowed for confirmation of guide wire orientation, alignment, and length across the fracture site. Anatomic fixation of navicular stress fractures can be challenging, and it is important for surgeons to be aware of the potential advantages of using intraoperative CT when treating these injuries. Levels of Evidence: Therapeutic, Level IV: Case Report

A descriptive study of stress fractures in competitive event horses in the UK

2004 ◽  
Vol 1 (4) ◽  
pp. 233-238
Author(s):  
Emma Hayton ◽  
Jennifer C Sneddon
Keyword(s):  
Stress Fracture ◽  
Descriptive Study ◽  
Stress Fractures ◽  
Anatomical Location ◽  
True Prevalence ◽  
Fracture Prevalence ◽  
The Uk ◽  
The Impact ◽  
Larger Sample ◽  
Age Category

AbstractThe impact of stress fractures on competitive event horses in the UK is completely unknown. Ninety-one replies to 450 questionnaires sent to competitive event riders across the UK indicated that 11 horses, representing 12% of the responders, had a confirmed stress fracture. As data on the total number of horses owned or ridden by the riders were not available, the true prevalence of stress fractures in this sample of horses could not be directly assessed. Within the bounds of this study, competitive level of the rider had a significant effect on stress fracture prevalence (X2(0.05, df. 2) = 24.74, P<0.05), as did years of eventing experience (X2(0.05, df. 1) = 27.80, P<0.01). Training regime was also influential (X2(0.05,df. 1) = 26.30, PX20.01). There was a predominance of fractures in geldings (X2(0.05, df. 1) = 24.45, P<0.03); however, geldings constituted 82% of reported cases. Thoroughbred cross horses had a significantly lower incidence of stress fractures than Thoroughbreds (X2(0.05, df. 1) = 20.82, P<0.01) but constituted only 18% of the sample. Horses in the oldest age category (9–12 years) had 6% of all stress fractures (X2(0.05, df. 2) = 24.54, P<0.1). All fractures occurred on the foreleg at the knee or below, with no significant effect of anatomical location. Seventy-three per cent of horses were not competing when diagnosed (X2(0.05, df. 1) = 22.27, P<0.1). These data indicate that useful preliminary data were yielded by the questionnaire and that further research with a larger sample size is justified.

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