Stress fracture: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Stress fracture
| image          = [[File:Stress_fracture_of_the_second_metatarsal_bone1.jpg|left|thumb|X-ray of a stress fracture of the second metatarsal bone]]
| caption        = X-ray of a stress fracture of the second metatarsal bone
| field          = [[Orthopedics]]
| symptoms        = [[Pain]] in the affected area, [[swelling]], tenderness
| onset          = Gradual
| duration        = Weeks to months
| causes          = Repetitive [[mechanical stress]]
| risks          = [[Athletes]], [[military recruits]], [[osteoporosis]]
| diagnosis      = [[Physical examination]], [[X-ray]], [[MRI]]
| differential    = [[Tendonitis]], [[arthritis]], [[bone tumor]]
| prevention      = Gradual increase in activity, proper footwear
| treatment      = Rest, [[ice]], [[compression]], [[elevation]], [[physical therapy]]
| prognosis      = Good with proper treatment
| frequency      = Common in athletes and military recruits
}}
= Stress Fractures =
= Stress Fractures =
'''Stress fractures''' are small breaks or cracks in the bones, typically resulting from repeated pressure or stress on the bone over time. Unlike acute fractures that occur due to a single, severe impact, stress fractures develop gradually as a result of overuse and repetitive force. They are common in weight-bearing bones of the lower leg and foot, often affecting athletes and individuals engaged in high-impact sports.
'''Stress fractures''' are small breaks or cracks in the bones, typically resulting from repeated pressure or stress on the bone over time. Unlike acute fractures that occur due to a single, severe impact, stress fractures develop gradually as a result of overuse and repetitive force. They are common in weight-bearing bones of the lower leg and foot, often affecting athletes and individuals engaged in high-impact sports.
 
[[File:X-ray of occult metaphyseal stress fracture of the tibia.jpg|left|thumb|X-ray showing a stress fracture.]]
[[File:X-ray of occult metaphyseal stress fracture of the tibia.jpg|thumb|right|X-ray showing a stress fracture.]]
 
== Causes ==
== Causes ==
Stress fractures are primarily caused by:
Stress fractures are primarily caused by:
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* Impact on hard surfaces
* Impact on hard surfaces
* Poor equipment, such as worn-out shoes
* Poor equipment, such as worn-out shoes
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== Risk Factors ==
== Risk Factors ==
Factors that increase the risk of stress fractures include:
Factors that increase the risk of stress fractures include:
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* A sudden increase in physical activity intensity or duration
* A sudden increase in physical activity intensity or duration
* Improper footwear
* Improper footwear
== Symptoms ==
== Symptoms ==
Symptoms of a stress fracture include:
Symptoms of a stress fracture include:
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* Tenderness to touch at the fracture site
* Tenderness to touch at the fracture site
* Possible bruising
* Possible bruising
== Diagnosis ==
== Diagnosis ==
Diagnosis of a stress fracture involves:
Diagnosis of a stress fracture involves:
* Medical history and physical examination
* Medical history and physical examination
* Imaging tests such as X-rays, although early stress fractures may not always be visible. MRI or bone scan may be recommended for a more accurate diagnosis.
* Imaging tests such as X-rays, although early stress fractures may not always be visible. MRI or bone scan may be recommended for a more accurate diagnosis.
 
[[File:Occult stress fracture of the talus on 1 month follow-up T1
[[File:Occult stress fracture of the talus on 1 month follow-up T1  
MRI.jpg|left|thumb|Occult stress fracture of the talus on 1 month follow-up T1
MRI.jpg|thumb|Occult stress fracture of the talus on 1 month follow-up T1  
MRI]]
MRI]]
== Treatment ==
== Treatment ==
The primary treatment for stress fractures is rest and avoidance of the activity that caused the injury. Additional treatments include:
The primary treatment for stress fractures is rest and avoidance of the activity that caused the injury. Additional treatments include:
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* Physical therapy to strengthen surrounding muscles
* Physical therapy to strengthen surrounding muscles
* Gradual return to activity following a period of rest
* Gradual return to activity following a period of rest
== Prevention ==
== Prevention ==
Prevention strategies for stress fractures include:
Prevention strategies for stress fractures include:
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* Cross-training to avoid repetitive stress on one area of the body
* Cross-training to avoid repetitive stress on one area of the body
* Ensuring adequate nutrition, particularly calcium and vitamin D intake
* Ensuring adequate nutrition, particularly calcium and vitamin D intake
== See Also ==
== See Also ==
* [[Bone fracture]]
* [[Bone fracture]]
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* [[Sports medicine]]
* [[Sports medicine]]
* [[Physical therapy]]
* [[Physical therapy]]
== References ==
== References ==
* American Academy of Orthopaedic Surgeons. (2021). ''Stress Fractures.''
* American Academy of Orthopaedic Surgeons. (2021). ''Stress Fractures.''
* National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2020). ''Stress Fractures.''
* National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2020). ''Stress Fractures.''
== External Links ==
== External Links ==
* [https://www.aaos.org/en/diseases--conditions/stress-fractures/ American Academy of Orthopaedic Surgeons: Stress Fractures]
* [https://www.aaos.org/en/diseases--conditions/stress-fractures/ American Academy of Orthopaedic Surgeons: Stress Fractures]
* [https://www.niams.nih.gov/health-topics/stress-fractures National Institute of Arthritis and Musculoskeletal and Skin Diseases: Stress Fractures]
* [https://www.niams.nih.gov/health-topics/stress-fractures National Institute of Arthritis and Musculoskeletal and Skin Diseases: Stress Fractures]
[[Category:Orthopedic disorders]]
[[Category:Orthopedic disorders]]
[[Category:Sports injuries]]
[[Category:Sports injuries]]
[[Category:Bone fractures]]
[[Category:Bone fractures]]
 
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Latest revision as of 20:21, 8 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Stress fracture
X-ray of a stress fracture of the second metatarsal bone
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Pain in the affected area, swelling, tenderness
Complications N/A
Onset Gradual
Duration Weeks to months
Types N/A
Causes Repetitive mechanical stress
Risks Athletes, military recruits, osteoporosis
Diagnosis Physical examination, X-ray, MRI
Differential diagnosis Tendonitis, arthritis, bone tumor
Prevention Gradual increase in activity, proper footwear
Treatment Rest, ice, compression, elevation, physical therapy
Medication N/A
Prognosis Good with proper treatment
Frequency Common in athletes and military recruits
Deaths N/A


Stress Fractures[edit]

Stress fractures are small breaks or cracks in the bones, typically resulting from repeated pressure or stress on the bone over time. Unlike acute fractures that occur due to a single, severe impact, stress fractures develop gradually as a result of overuse and repetitive force. They are common in weight-bearing bones of the lower leg and foot, often affecting athletes and individuals engaged in high-impact sports.

X-ray showing a stress fracture.

Causes[edit]

Stress fractures are primarily caused by:

  • Repetitive activity
  • Increased physical activity without proper conditioning
  • Impact on hard surfaces
  • Poor equipment, such as worn-out shoes

Risk Factors[edit]

Factors that increase the risk of stress fractures include:

  • Participation in high-impact sports like running, basketball, and gymnastics
  • Conditions such as osteoporosis that weaken bones
  • A sudden increase in physical activity intensity or duration
  • Improper footwear

Symptoms[edit]

Symptoms of a stress fracture include:

  • Pain that worsens with activity and improves with rest
  • Swelling at the site of the fracture
  • Tenderness to touch at the fracture site
  • Possible bruising

Diagnosis[edit]

Diagnosis of a stress fracture involves:

  • Medical history and physical examination
  • Imaging tests such as X-rays, although early stress fractures may not always be visible. MRI or bone scan may be recommended for a more accurate diagnosis.

[[File:Occult stress fracture of the talus on 1 month follow-up T1 MRI.jpg|left|thumb|Occult stress fracture of the talus on 1 month follow-up T1 MRI]]

Treatment[edit]

The primary treatment for stress fractures is rest and avoidance of the activity that caused the injury. Additional treatments include:

  • Protective footwear or braces
  • Physical therapy to strengthen surrounding muscles
  • Gradual return to activity following a period of rest

Prevention[edit]

Prevention strategies for stress fractures include:

  • Gradually increasing the intensity and duration of physical activity
  • Using appropriate and well-fitting footwear
  • Cross-training to avoid repetitive stress on one area of the body
  • Ensuring adequate nutrition, particularly calcium and vitamin D intake

See Also[edit]

References[edit]

  • American Academy of Orthopaedic Surgeons. (2021). Stress Fractures.
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2020). Stress Fractures.

External Links[edit]

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