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Stress Fractures in Athletes

2014-10-20
Stress Fractures in Athletes

Author: Timothy L. Miller

Publisher: Springer

ISBN: 9783319092386

Category: Medical

Page: 245

View: 712

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Stress fractures are fatigue failures of bone caused by unusual or repeated stress on bone and are among the more common sports injuries encountered. Often going unreported or occasionally unnoticed, athletes run the risk of a more serious fracture if untreated. Stress Fractures in Athletes focuses on the presentation, evaluation and treatment of these injuries. Divided into two sections, the first part provides in-depth description of the pathophysiology, epidemiology and biomechanics of stress fractures, as well as a discussion of classification, imaging and some general treatment concepts. The second part expands on treatment and takes each relevant anatomical region into consideration: lumbar spine, pelvis, femur, knee, tibia, upper and lower extremities, and the ribs and shoulder girdle. A chapter on insufficiency fractures, commonly associated with osteopenia and osteoporosis, is also included. As such, Stress Fractures in Athletes are a comprehensive resource for sports medicine practitioners, orthopedic surgeons, primary care physicians and physical therapists alike.

Stress Fractures in Athletes

2020-07-03
Stress Fractures in Athletes

Author: Timothy L. Miller

Publisher: Springer Nature

ISBN: 9783030469191

Category: Medical

Page: 285

View: 689

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Now completely revised and expanded, this second edition not only includes updated chapters detailing treatment of the most common and troublesome sites for stress fractures, but also more recent research regarding risk factors for the development of stress fractures. As in the original edition, general principles of evaluation, healing considerations and management strategies are discussed in three thematic sections. However, unlike the previous text, this edition will focus on a holistic approach to the treatment of these increasingly common injuries with new chapters on nutritional optimization of athletes at risk for stress fractures, systemic treatment strategies for healing including vitamin D supplementation and parathyroid hormone stimulation, and surgical and injectable biologic treatment modalities for enhanced bone healing. This edition will also include guidelines for on-the-field and training room management of stress fractures for team physicians. This revision is timely, given the increasing rate and severity of bony stress injuries encountered in elite and professional athletes related to single-sport specialization and the increased popularity of endurance sports such as cross-fit, obstacle course racing, and ultramarathon competitions. It will be an ideal resource for sports medicine practitioners including orthopedic surgeons, primary care sports medicine specialists, athletic trainers, and physical therapists.

Stress Fractures

1999
Stress Fractures

Author: Peter Brukner

Publisher: Blackwell Science Incorporated

ISBN: 0867930152

Category: Medical

Page: 190

View: 593

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This much-needed reference serves as your best source for up-to-date, organized information on stress fractures. Written by three leading authorities in this area, Stress Fractures covers the pathophysiology, epidemiology, risk factors, and treatment associated with these injuries. The reference provides both theory about development of stress fractures and practical management of the various types and sites of stress fractures. It is an essential reference for all clinicians involved in the diagnosis, prescription, and management of these injuries. Authors Peter Brukner, Kim Bennell, and Gordon Matheson draw together their extensive knowledge base and expertise to provide current and comprehensive information about the subject. The pathophysiology and epidemiology of stress fractures are covered in the first two chapters. A general overview of diagnosis and treatment of stress fractures is provided in the following two chapters. In the concluding chapters, the management of specific stress fractures is described in detail for the upper limb, the trunk, the pelvis and thigh, the lower leg, and the foot and ankle. Recent advances in nuclear isotope scans, CT scans, and MRI have enabled stress fractures to be detected and identified much more easily. Stress Fractures pulls together the important information on the topic and offers a valuable, practical guide to risk factors and treatment options for this increasingly prevalent type of injury. This book is published by Blackwell Science and is not available from Human Kinetics in Australia.

Fractures in Sport

2021-07-29
Fractures in Sport

Author: Greg A. J. Robertson

Publisher: Springer Nature

ISBN: 9783030720360

Category: Medical

Page: 516

View: 672

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This textbook provides a practically applicable sport-centred guide to fracture management for athletes. It features extensive evidence-based guidance on how fracture management can be adapted in athletic patients, to facilitate an accelerated return to sport. Descriptions of a variety of both acute and stress fracture types are included, covering both the appendicular and axial skeleton, in locations such as the shoulder, knee, ankle and spine. Throughout the book, the focus is on enabling the reader to develop a deeper understanding of the ideal management principles that are available for managing fractures in high-functioning patients. Fractures in Sport comprehensively covers the available strategies for managing fractures in professional and amateur athletes, and is ideal for use by practising and trainee orthopaedic surgeons, sports physicians, and general practitioners.

Essentials of Physical Medicine and Rehabilitation

2008-01-01
Essentials of Physical Medicine and Rehabilitation

Author: Julie K. Silver

Publisher: Elsevier Health Sciences

ISBN: 9781416040071

Category: Medical

Page: 956

View: 749

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DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 11. Biceps Tendinitis -- DEFINITION -- SYMPTOMS -- PHYSICAL EXAMINATION -- FUNCTIONAL LIMITATIONS -- DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 12. Biceps Tendon Rupture -- DEFINITION -- SYMPTOMS -- PHYSICAL EXAMINATION -- FUNCTIONAL LIMITATIONS -- DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 13. Glenohumeral Instability -- DEFINITIONS

Baxter's the Foot and Ankle in Sport

2008-01-01
Baxter's the Foot and Ankle in Sport

Author: Donald E. Baxter

Publisher: Elsevier Health Sciences

ISBN: 9780323023580

Category: Medical

Page: 652

View: 488

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An injury to the foot and ankle can be devastating to an athlete's performance. Get your patients back to their peak physical condition using authoritative guidance from the only reference book focusing solely on sports-related injuries of the foot and ankle! Authoritative guidance on athletic evaluation, sports syndromes, anatomic disorders, athletic shoes, orthoses and rehabilitation, and more, provides you with the know-how you need to overcome virtually any challenge you face. A chapter focusing on sports and dance equips you to better understand and manage the unique problems of these high-impact activities. Comprehensive coverage of rehabilitation of the foot and ankle helps you ease your patients' concerns regarding return to play. International contributors share their expertise and provide you with a global perspective on sports medicine. Case studies demonstrate how to approach specific clinical situations and injuries. Three new chapters on "Problematic Stress Fractures of the Foot and Ankle," "New Advances in the Treatment of the Foot and Ankle," and "The Principles of Rehabilitation for the Foot and Ankle," deliver more expert knowledge and practice solutions than ever before. Expanded chapters guide you through all aspects of treating sports-related injuries of the foot and ankle, from evaluation to rehabilitation.

Distinguishing Bone Characteristics in Female Athletes with and Without Stress Fractures Using Sector Analysis of 3D Tibia Images

2018
Distinguishing Bone Characteristics in Female Athletes with and Without Stress Fractures Using Sector Analysis of 3D Tibia Images

Author: Katie Yannarell

Publisher:

ISBN: OCLC:1038452286

Category:

Page:

View: 620

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More than 20% of sports-related injuries are stress fractures, which begin as microstructural level cracks that accumulate and propagate into cortical fractures. Incurring one stress fracture increases the likelihood of sustaining a subsequent stress fracture, and there is a significantly higher prevalence of stress fractures in female athletes and military recruits compared to males. There are several risk factors that contribute to the increased prevalence in females, especially those associated with the Female Athlete Triad (the Triad). The Triad consists of three interrelated conditions: low energy availability (EA) with or without an eating disorder, low bone mineral density (BMD), and menstrual disturbances. The purpose of this study was to distinguish bone characteristics in female athletes with and without stress fractures. Specifically, we assessed serum markers of bone formation (P1NP) and resorption (CTX) since bone is a metabolically active tissue that undergoes a remodeling. Additionally, we performed sector analyses of pQCT images to assess regional vBMD and bone geometry of the tibia at 4 sites: 4%, 14%, 38%, and 66% from the distal endplate of the tibia. Female athletes that were recently diagnosed with a stress fracture (SFx) (n=19) were matched by age, sport type, and exercise volume with healthy female athletes (Control) (n=11), resulting in a cohort of n=30 female athletes. Women were between the ages of 18 and 35 years who presented with or without a lower extremity bone stress injury, participated in at least 2 hours of exercise per week, and were free of chronic illness impacting bone metabolism. There were no significant differences in basic demographics or body composition between the two groups (p>0.05). Bone marker measurements demonstrated no significant differences in P1NP or CTX between the Control and SFx groups (p>0.05). There were no differences between the Control and SFx groups in pQCT measurements of the total, cortical, or trabecular bone when assessing each cross-section of the bone as a whole. However, sector analysis revealed that there were significant differences within certain regions of cross-sections between the groups at the proximal tibial sites (38% and 66%), but not the distal sites (4% and 14%); the most differences were observed in the medial regions of the cross-sections (p

Utilizing Vitamin D Supplementation to Prevent Stress Fractures in Female Runners

2014
Utilizing Vitamin D Supplementation to Prevent Stress Fractures in Female Runners

Author: Meghan Frye

Publisher:

ISBN: OCLC:906801424

Category:

Page: 64

View: 552

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Problem: Previous research on vitamin D has focused on its role in bone density as well as its autoiznmune and anti-inflammatory benefits. Emerging evidence also supports its role in preventing stress fractures, which are common overuse injuries among populations such as military recruits and female runners. These injuries can lead to major training setbacks and may have long-term implications for bone mineral density. To understand the effect of vitamin D on stress fractures in female runners, a scholarly literature review was conducted. Methods: A scholarly literature review was coordinated utilizing PubMed. The following search keywords were used to access all of the available literature that encompassed the topic: "vitamin D" AND "stress fracture", "vitamin D" AND "stress fracture" AND "female", "stress fracture" AND "female athlete", "vitamin D" AND "stress fracture" AND "runner". Results: Of the available articles, a total of 21 were found to be relevant to the topic. Twelve of the 21 were original research articles, 3 were case reports and 6 were review articles. Additionally, 1 web site was utilized. Overall, the strongest research is among male and female military recruits. There is limited but promising data on vitamin D and its effect on athletes. Conclusions: Much of the original research has focused on military recruits entering basic training, where evidence supports vitamin D's role in bone health and stress fracture prevention. This correlation is also supported in athletic populations, such as female runners, although less research is available to support this conclusion. Overall, future original research on athletic populations is needed to establish a clear cause and effect relationship.