![]() ![]() Commonly statements made to the doctor are “I don’t remember hurting myself” or “I havent really changed my training schedule” or “I thought the ache was nothing to worry about”. Clinical assessment by an Orthopaedic foot and ankle surgeon is advised who has access to multimodal investigation and treatment facilities. Persistent pain in the absence of significant trauma should highlight the possibility of a stress fracture. What should you do if you are concerned you may have a stress fracture? The pain eases on rest but recurs on activity resumption. For example In the tibia or shin, pain radiates on the shin bone on impact, in the 5 th metatarsal pain is located to the outer aspect of the foot, in calcaneum injuries pain is located under the heel. ![]() Localised pain in the area of the suspected fracture. This is a combination of disordered eating habits, ammenorhea (absent periods) and osteoporosis (low bone density). There is a classic combination of disorders that can be found even in teenage girls who are keen athletes. Why may women get more stress fractures than men?įemale athletes who suffer from irregular menses (periods) are more likely to develop stress fractures due to the reduced or erratic oestrogen hormone production and the positive effect it has on bone metabolism and strength. Long distance walking (including military personnel).What activities are more likely to develop stress fractures? The tibia or medial malleolus at the ankle.The fibula or lateral malleolus at the ankle.The vast majority of stress fractures occur in the foot and lower leg. What are the anatomical areas most prone to development of a stress fracture? Inappropriate diet can potentially affect the bones ability to respond to stress applied and finally hormone imbalances can reduce the bones mineralisation and thus its ability to withstand repetitive stresses. These include subtle abnormal foot postures and movements on running or improper footwear and surfaces. Sudden increases or constant sessions in playing or training time can potentially cause injury.ĭifferent factors may predispose athletes to this injury. Running on unfamiliar hard surfaces can predispose to injury. Typical cases occur in athletes who change training habits or intensity. How does a stress fracture normally occur? It is due to repetitive loading of a bone that is not able to normally maintain the repetitive frequent stresses applied to the leg. Stress Fractures What are stress fractures?Ī stress fracture is fracture of a bone most commonly seen in the foot or lower leg that is generally caused by overuse of a limb. ![]()
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