Stress Fractures at Commando Training Centre Royal Marines, Lympstone — A Retrospective Survey (September 1979 — October 1981)

1982 ◽  
Vol 68 (2) ◽  
pp. 77-81
Keyword(s):  
Natural History ◽  
Femoral Neck ◽  
Stress Fracture ◽  
Military Training ◽  
Stress Fractures ◽  
Pubic Ramus ◽  
Training Centre ◽  
Os Calcis ◽  
Retrospective Survey ◽  
Tibial Stress Fracture

AbstractThe problem of stress fractures, both in general and in association with military training, is briefly reviewed. The results of a retrospective survey of 109 radiographically confirmed cases at Commando Training Centre Royal Marines Lympstone occurring over a period of 26 months are presented. These comprised 57 cases of metatarsal stress fracture, 44 cases of tibial stress fracture, three cases in the fibula, two cases in the os calcis, two in the femoral neck, and one affecting the inferior pubic ramus.Some tentative conclusions regarding the aetiology, natural history and diagnosis of stress fractures are drawn: it is possible that increasing the average age of those undergoing commando training might reduce the incidence of stress fractures, but such a policy might well lead to other problems in training and should be advocated with caution. if at all. Otherwise no feasible suggestions for reducing the incidence can be made which are compatible with Service requirements.

scholarly journals Femoral Neck Stress Fractures in Military Personnel

2009 ◽  
Vol 48 (174) ◽  
pp. 99-102 ◽  
Author(s):  
Amit Joshi ◽  
B R KC ◽  
B C Shah ◽  
P Chand ◽  
B B Thapa ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Stress Fracture ◽  
Clinical Symptoms ◽  
Initial Period ◽  
Military Training ◽  
Stress Fractures ◽  
Non Union ◽  
Army Hospital ◽  
Clinical Onset ◽  
Femoral Neck Stress Fracture

Introduction: Stress fractures are common during military training but femoral neck stress fractures are uncommon and sometimes pose diagnostic and therapeutic challenges. An incomplete stress fracture with excellent prognosis, if left unprotected, can lead to displaced femoral neck fracture with almost 63% complication rate even with best of the treatment. The aim of this study was to analyze various aspects of the femoral neck stress fracture so that early diagnosis can be made to prevent devastating complications like osteonecrosis and non-union. Methods: The four year army hospital record of 16 patients with femoral neck stress fracture were studied. Their demographic profi le, type of fracture, presentation delay, on set of clinical symptoms and complication of femoral neck stress fracture were critically analyzed. Results: The mean age of the patient was 19.94 years. Total 74% of them developed fi rst symptoms of stress fracture between four to seven weeks of training. There was 3.4 weeks delay from the clinical onset of symptoms to the diagnosis of stress fracture. The type of femoral neck stress fracture were compression (31.25%), tension (18.75%) and displaced (50%). Out of eight displaced type of fractures, 5 (62.5%) had developed complications (3 osteonecrosis and 2 nonunion).Conclusions: Femoral neck stress fracture occurs in initial four to seven weeks of training. The high index of suspicion in initial period of training can help to detect and decreases significant morbidity.Key Words: displaced stress fractures, non-union, osteonecrosis, recruits

Stress Fractures And The Reproductive System In The Female Athlete

2018 ◽  
Author(s):  
Irfan M Asif ◽  
Kimberly Harmon ◽  
Mallory Shasteen
Keyword(s):  
Femoral Neck ◽  
Disordered Eating ◽  
Reproductive System ◽  
Female Athlete ◽  
Female Athletes ◽  
Stress Fractures ◽  
Female Athlete Triad ◽  
Low Back ◽  
Mineral Density ◽  
Pubic Ramus

Stress fractures are more common in the female athlete. Stress fractures of the pubic ramus and femoral neck are particularly more common in females than in males. Rib stress fractures are an important injury to consider in the female rower, whereas spondylolysis is a common cause of low back pain in female athletes who hyperextend their spines. The higher incidence of stress fractures in females is mainly due to the higher prevalence of disordered eating and subsequent energy imbalance, which leads to detrimental effects on bone. This review discusses stress fractures and unique issues related to exercise and the female reproductive system. This review contains 6 figures, 5 tables and 49 references Key words: amenorrhea, bone mineral density, disordered eating, female athlete triad, femoral neck, pregnancy, pubic ramus, rib, spondylolysis, stress fracture

Stress Fractures And The Reproductive System In The Female Athlete

2018 ◽  
Author(s):  
Irfan M Asif ◽  
Kimberly Harmon ◽  
Mallory Shasteen
Keyword(s):  
Femoral Neck ◽  
Disordered Eating ◽  
Reproductive System ◽  
Female Athlete ◽  
Female Athletes ◽  
Stress Fractures ◽  
Female Athlete Triad ◽  
Low Back ◽  
Mineral Density ◽  
Pubic Ramus

Stress fractures are more common in the female athlete. Stress fractures of the pubic ramus and femoral neck are particularly more common in females than in males. Rib stress fractures are an important injury to consider in the female rower, whereas spondylolysis is a common cause of low back pain in female athletes who hyperextend their spines. The higher incidence of stress fractures in females is mainly due to the higher prevalence of disordered eating and subsequent energy imbalance, which leads to detrimental effects on bone. This review discusses stress fractures and unique issues related to exercise and the female reproductive system. This review contains 6 figures, 5 tables and 49 references Key words: amenorrhea, bone mineral density, disordered eating, female athlete triad, femoral neck, pregnancy, pubic ramus, rib, spondylolysis, stress fracture

Surgical management of chronic pelvic instability following periacetabular osteotomy nonunion

2020 ◽  
Vol 30 (6) ◽  
pp. 787-792
Author(s):  
Alexander D Shearman ◽  
Aresh Hashemi-Nejad ◽  
Marcus JK Bankes ◽  
Angus D Lewis
Keyword(s):  
Stress Fracture ◽  
Soft Tissues ◽  
Periacetabular Osteotomy ◽  
Case Series ◽  
Stress Fractures ◽  
Pubic Ramus ◽  
Ilioinguinal Approach ◽  
Superior Pubic Ramus ◽  
Stoppa Approach ◽  
Pelvic Instability

Introduction: Periacetabular osteotomy (PAO) is an established treatment for symptomatic acetabular dysplasia in skeletally mature individuals without arthritis. Pelvic nonunion and associated stress fractures are under-reported. Nonunited stress fractures can cause continued buttock pain and pelvic instability. The aim of this study is to report on our experience managing patients with ongoing pain following nonunion of PAO. Patients and methods: 8 patients presented to a tertiary referral pelvic service with symptomatic PAO nonunion between 2015-2018. All patients underwent open reduction internal fixation of the superior pubic ramus nonunion, with ipsilateral iliac autograft, at an average of 48.1 (15–82) months following initial osteotomy. Demographic and perioperative data were recorded. Follow-up was on average to 9.9 months, once union was confirmed radiographically. Results: All patients were female and average age was 31.8 (18–41) years. In 7/8 (87.5%) patients a modified Stoppa approach was successfully utilised. 1 patient required an ilioinguinal approach due to the amount of rotational correction. All patients went on to union at the superior pubic ramus and reported improvement in mechanical symptoms. 5/8 (62.5%) patients were noted to develop union of the posterior column or inferior pubic ramus stress fracture indirectly. 2/8 (25%) patients developed progression of intra-articular pain, despite restoration of pelvic stability. 1 patient required intraoperative transfusion due to femoral vein injury. There were no other complications seen in this series. Conclusions: To our knowledge, this is the largest case series of surgically managed PAO nonunion. Pelvic instability resulting from nonunion and stress fracture can be satisfactorily addressed by mobilising, grafting and plating the nonunion at the superior pubic ramus. The modified Stoppa approach is suitable in most cases, allowing excellent exposure whilst minimising the insult to soft tissues. The altered anatomy of the pelvis following PAO should be anticipated to reduce the risk to nearby neurovascular structures.

scholarly journals Bilateral stress fracture of the femoral neck in association with simultaneously developing osteonecrosis of the femoral head: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tomofumi Nishino ◽  
Hisashi Sugaya ◽  
Naoya Kikuchi ◽  
Yu Watanabe ◽  
Hajime Mishima ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Femoral Head ◽  
Femoral Neck ◽  
Stress Fracture ◽  
Overuse Injury ◽  
Early Stage ◽  
Stress Fractures ◽  
Resonance Imaging ◽  
Femoral Neck Stress Fracture

Abstract Background Femoral neck stress fractures are rare and often recognized as overuse injuries that occur in young athletes or military personnel. A case following osteonecrosis of the femoral head is quite rare; even more uncommon is its occurrence in the bilateral hips. Magnetic resonance imaging has been established as the preferred tool for diagnosing nondisplaced femoral neck stress fracture due to overuse injury. Magnetic resonance imaging was also useful to detect the initial lesion even in this case, although the etiology was different between overuse injury and insufficiency fracture. Case presentation A 41-year-old Japanese woman diagnosed with bilateral early stage idiopathic osteonecrosis of the femoral head was observed non-weight-bearing as much as possible using a stick. However, her pain and difficulty in walking progressed. Bilateral femoral neck stress fractures were subsequently detected by magnetic resonance imaging. The fracture initially appeared as a spot of bone marrow edema at the medial site of the femoral neck, and then developed into a fracture line. The patient underwent internal fixation of both hips with sliding hip screws to stabilize the stress fractures. In addition, the preparatory reaming served as core decompression of the femoral heads, as well as being treatment for osteonecrosis. Her bone mineral density and 25-hydroxy vitamin D values were low for her age. We administered eldecalcitol and teriparatide acetate. Her symptoms mostly improved, and the fracture lines and necrotic lesions on magnetic resonance imaging reduced at 5 months after the surgery. Conclusions Bilateral femoral neck stress fractures are a very rare condition and are often missed. It is important to listen to the patient’s complaints and perform an appropriate examination. We encountered a case of bilateral femoral neck stress fracture that occurred in a patient with early stage osteonecrosis of the femoral head, and were able to observe progression of stress fracture since before fracture occurred. This is considered to be the first report to capture imaging changes before and after the onset.

Stress Fractures And The Reproductive System In The Female Athlete

2018 ◽  
Author(s):  
Irfan M Asif ◽  
Kimberly Harmon ◽  
Mallory Shasteen
Keyword(s):  
Femoral Neck ◽  
Disordered Eating ◽  
Reproductive System ◽  
Female Athlete ◽  
Female Athletes ◽  
Stress Fractures ◽  
Female Athlete Triad ◽  
Low Back ◽  
Mineral Density ◽  
Pubic Ramus

Stress fractures are more common in the female athlete. Stress fractures of the pubic ramus and femoral neck are particularly more common in females than in males. Rib stress fractures are an important injury to consider in the female rower, whereas spondylolysis is a common cause of low back pain in female athletes who hyperextend their spines. The higher incidence of stress fractures in females is mainly due to the higher prevalence of disordered eating and subsequent energy imbalance, which leads to detrimental effects on bone. This review discusses stress fractures and unique issues related to exercise and the female reproductive system. This review contains 6 figures, 5 tables and 49 references Key words: amenorrhea, bone mineral density, disordered eating, female athlete triad, femoral neck, pregnancy, pubic ramus, rib, spondylolysis, stress fracture

Tibial and Proximal Fibular Stress Fracture in a Rower

2003 ◽  
Vol 93 (4) ◽  
pp. 340-343 ◽  
Author(s):  
James M. Losito ◽  
R. Clinton Laird ◽  
Monica R. Alexis ◽  
Jessica Mora
Keyword(s):  
Stress Fracture ◽  
Bone Scan ◽  
Stress Fractures ◽  
Leg Pain ◽  
Body Type ◽  
Tibial Stress Fracture ◽  
Military Recruits ◽  
Training Habits ◽  
And Gender

Proximal fibular stress fractures are rare injuries that usually result from jumping and running activities of military recruits and athletes. This article describes a female university athlete with proximal lateral leg pain diagnosed by means of a triphase bone scan as proximal fibular stress fracture and proximal to middle one-third tibial stress fracture. This case highlights the need to examine not only the sport but also the athlete’s training habits to identify possible factors contributing to the injury. Body type, biomechanics, and gender are also possible etiologic factors. (J Am Podiatr Med Assoc 93(4): 340-343, 2003)

Simultaneous Bilateral Stress Fractures in a Homemaker

2014 ◽  
Vol 104 (5) ◽  
pp. 518-521
Author(s):  
Sohail Yousaf ◽  
Kapil Sugand ◽  
Mushahid Raza ◽  
Palanisamy Ramesh
Keyword(s):  
Stress Fracture ◽  
Unusual Case ◽  
Stress Fractures ◽  
Tibial Stress Fracture ◽  
Repetitive Stress

Stress fractures commonly occur in athletes and military cadets due to repetitive stress on the bony cortex. Stress fractures of the tibia are commonly localized proximally and occur during aerobic weightbearing exercises. This is an unusual case of bilateral simultaneous distal tibial stress fracture in a young homemaker.

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