Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

In a prospective study of stress fractures the hypothesis that a shock-absorbing orthotic device worn within military boots could lessen the incidence of stress fractures was tested. The incidence of metatarsal, tibial, and femoral stress fractures was lower in the orthotic group, but only the latter difference was statistically significant. The time of onset and the location of stress fractures between orthotic and nonorthotic users did not differ. These findings suggest that the incidence of femoral stress fractures, which are the most dangerous type of stress fracture because of their high risk of developing into displaced fractures, can be reduced by an orthotic device.

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Bone mass at lumbar spine and tibia in young males—impact of physical fitness, exercise, and anthropometric parameters: A prospective study in a cohort of military recruits

Bone ◽

10.1016/8756-3282(95)00217-2 ◽

1995 ◽

Vol 17 (3) ◽

pp. 211-219 ◽

Cited By ~ 34

Author(s):

J.-P. Casez ◽

S. Fischer ◽

E. Stüssi ◽

H. Stalder ◽

A. Gerber ◽

...

Keyword(s):

Lumbar Spine ◽

Bone Mass ◽

Physical Fitness ◽

Prospective Study ◽

Anthropometric Parameters ◽

Young Males ◽

Military Recruits ◽

A Prospective Study

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Does Increased Loading During Running Lead to Tibial Stress Fractures? A Prospective Study

Medicine & Science in Sports & Exercise ◽

10.1097/00005768-200405001-00271 ◽

2004 ◽

Vol 36 (Supplement) ◽

pp. S58 ◽

Cited By ~ 4

Author(s):

Irene Davis ◽

Clare E. Milner ◽

Joseph Hamill

Keyword(s):

Prospective Study ◽

Stress Fractures ◽

A Prospective Study

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Risk Factors for Lateral Ankle Sprain: A Prospective Study Among Military Recruits

Foot & Ankle ◽

10.1177/107110079101200105 ◽

1991 ◽

Vol 12 (1) ◽

pp. 26-30 ◽

Cited By ~ 113

Author(s):

Charles Milgrom ◽

Natan Shlamkovitch ◽

Aaron Finestone ◽

Arieh Eldad ◽

Arie Laor ◽

...

Keyword(s):

Risk Factors ◽

Prospective Study ◽

Ankle Sprain ◽

Lateral Ankle Sprain ◽

Lateral Ankle ◽

Military Recruits ◽

A Prospective Study

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Combined Effect of Foot Arch Structure and an Orthotic Device on Stress Fractures

Foot & Ankle ◽

10.1177/107110078901000105 ◽

1989 ◽

Vol 10 (1) ◽

pp. 25-29 ◽

Cited By ~ 165

Author(s):

Ariel Simkin ◽

Isaac Leichter ◽

Michael Giladi ◽

Michael Stein ◽

Charles Milgrom

Keyword(s):

Stress Fractures ◽

Lower Limbs ◽

Orthotic Device ◽

Military Recruits ◽

Longitudinal Arch ◽

Metatarsal Fractures ◽

Foot Arch ◽

Military Stress ◽

A Prospective Study

In a prospective study, quantitative measures of the structure of the longitudinal arch of the foot were established and related to the incidence of stress fractures in the bones of the lower limbs of military recruits. In addition, the role of a semirigid orthotic device (Langer military stress orthotic) in preventing stress fractures was evaluated as a function of the structure of the longitudinal arch. Femoral and tibial stress fractures were found to be more prevalent in the presence of feet with high arches, whereas the incidence of metatarsal fractures was higher in feet with low arches. The use of an orthotic device reduced the incidence of femoral stress fractures only in the presence of feet with high arches and the incidence of metatarsal fractures only among feet with low arches. The findings suggest that the normal foot with a low arch acts as a better shock absorber than the normal foot with a high arch, and that an orthotic device may improve the shock absorbing capacity of the arch.

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