A Prospective Evaluation of Stress Fractures/Overuse Injuries in a Population of West Point Cadets.

1992 ◽  
Author(s):  
Jack Ryan ◽  
Charles Scoville
Keyword(s):  
Stress Fractures ◽  
Overuse Injuries ◽  
West Point ◽  
Prospective Evaluation

scholarly journals Injuries of Children and Young People in Sports: Stress Fractures and Fracture of the Sleeve Sleeve

2018 ◽  
Vol 6 (6_suppl3) ◽  
pp. 2325967118S0005
Author(s):  
Ana Costa Pinheiro ◽  
Filomena Ferreira ◽  
Margarida Areias ◽  
Carolina Oliveira ◽  
Cristina Sousa ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Young People ◽  
Avulsion Fracture ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Resonance Imaging ◽  
Children And Young People ◽  
Sleeve Fracture ◽  
Clinical Cases

Introduction: With the dramatic increase in the competitive sports of children and young people, overuse injuries have become more important in the pediatric population. Among these, the most frequent injuries in young athletes are stress fractures. The absence of evident traumatic history and the subtle radiographic changes can cause a diagnostic difficulty and delay the treatment. Fracture of the patella sleeve is a rare fracture only occurs in children. The diagnosis is difficult, both clinically and radiologically. High patella and hemarthrosis are important signs to diagnose this fracture. Presentation of 2 clinical cases of injuries in children and young people in sports: stress fractures and fracture of the patella sleeve. Methods: Retrospective descriptive method with reports of clinical cases based on patients’ electronic clinical processes. Results: We present a case of a child, a 13-year-old soccer practitioner who had mentioned well localized pain in the anterior aspect of the right leg with 5 days of evolution and analgesic gait and no history of trauma. The radiographs and CT showed a juxtaposed cortical lesion with apparent contact with the cortical bone without associated periosteal reaction. NMR confirmed stress fracture of the proximal tibial shaft. It was treated conservatively with immobilization with plaster and discharge. We present the case of an 11-year-old boy who suffered a fracture of the patella sleeve. In the imaging study, a fragment of bone with a displacement from the lower pole of the patella was visible. An open fracture reduction was performed. During the surgery confirmed avulsion fracture of a small osteochondral fragment, configuration of a sleeve-like fracture. The amount of cartilage was small, so it was decided to reinsert the 2 anchorages for patellar tendon. After fracture healing and rehabilitation, both returned to sports activity without sequelae or functional limitations. Discussion/Conclusion: A knowledge of the fracture of the patella sleeve, together with its clinical and radiological features, is important to avoid misdiagnosis and treatment delay. Care should be taken not to disturb the proximal tibial process. Although relatively uncommon in the pediatric age, the incidence of fractures described stress have been increasing in this age group. A high degree of suspicion is required to make the diagnosis and avoid too invasive treatment. REFERENCES Ray JM, Hendrix J. Incidence, mechanism of injury, and treatment of fractures of the patella in children. J Trauma 1992;32:464–7. Bates DG, Hresko MT, Jaramillo D. Patellar sleeve fracture: demonstration with MR imaging. Radiology 1994;193:825–7. Wu CD, Huang SC, Liu TK. Sleeve fracture of the patella in children. A report of five cases. Am J Sports Med 1991;19:525– 8. Houghton GR, Ackroyd CE. Sleeve fractures of the patella in children: a report of three cases. J Bone Joint Surg Br 1979;61:165–8. Shands PA, McQueen DA. Demonstration of avulsion fracture of the inferior pole of the patella by magnetic resonance imaging. A case report. J Bone Joint Surg Am 1995;77:1721–3. Dai LY, Zhang WM. Fractures of the patella in children. Knee Surg Sports Traumatol Arthrosc 1999;7:243–5. Fredericson M, Bergman G, Hoffman KL, et al. Tibial stress reaction in runners: correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med 1995; 23: 472-81. Hunter-Griffin LY. Clinics in sports medicine: overuse injuries. Philadelphia (PA): W.B. Saunders, 1987. Jackson DW, Bailey D. Shin splints in the young athlete: a non-specific diagnosis. Phys Sports Med 1975; 3: 45-51.   

Stress Fracture of the Lateral Cuneiform Bone

2013 ◽  
Vol 103 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Tamara Vukic ◽  
Alan Ivkovic ◽  
Sasa Jankovic
Keyword(s):  
Stress Fracture ◽  
Military Personnel ◽  
Similar Case ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Foot Pain ◽  
Review Of The Literature ◽  
Cuneiform Bone

Stress fractures are common overuse injuries of the bone that are most often seen in athletes and military personnel. These types of injuries seem to be commonly missed or delayed in diagnosis. Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone. A review of the literature failed to find a similar case. (J Am Podiatr Med Assoc 103(4): 337–339, 2013)

The effect of army vest design on the occurrence of stress fractures and overuse injuries in female military recruits

2016 ◽  
Vol 163 (4) ◽  
pp. 251-254 ◽  
Author(s):  
Ezequiel Palmanovich ◽  
M Frankl ◽  
M Nyska ◽  
I Hetsroni ◽  
N Constantini ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Overuse Injuries ◽  
Military Recruits

Paper 16: Risk Factors for Stress Fractures, Orthopaedic Acute and Overuse Injuries in Female Infantry Recruits

2012 ◽  
Vol 28 (9) ◽  
pp. e344
Author(s):  
Gad Kahn ◽  
Gideon Mann ◽  
Meir Nyska ◽  
Omer Mei-Dan ◽  
Naama Constantini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Stress Fractures ◽  
Overuse Injuries

Multiple Simultaneous Metatarsal Stress Fractures in the Same Foot

2015 ◽  
Vol 105 (2) ◽  
pp. 177-180 ◽  
Author(s):  
Murat Mert ◽  
Ethem Ayhan Unkar ◽  
Ali Volkan Ozluk ◽  
Tolga Tuzuner ◽  
Sinan Erdoğan
Keyword(s):  
Case Report ◽  
Stress Fractures ◽  
Demographic Characteristics ◽  
Overuse Injuries ◽  
Ballet Dancers ◽  
Military Recruits ◽  
Poor Outcomes

Metatarsal stress fractures are common overuse injuries in athletes, military recruits, and ballet dancers, usually occurring in the second, third, and fourth metatarsals, respectively. Such fractures may also occur in a variety of other individuals, regardless of demographic characteristics, sex, or profession, and they are highly associated with excessive activity. Moreover, these types of fractures are usually diagnosed late and have poor outcomes. To our knowledge, there has been only one case report of an individual with stress fractures of all three central metatarsals in the same foot. We describe herein a racehorse training jockey who presented with multiple simultaneous metatarsal stress fractures in the same foot. We also discuss the possible mechanisms by which this entity occurred, as well as its management and outcome.

Overuse Injuries in the Young Athlete: Stress Fractures

2008 ◽  
pp. 151-163
Author(s):  
Lyle J. Micheli ◽  
Jason H. Nielson
Keyword(s):  
Young Athlete ◽  
Stress Fractures ◽  
Overuse Injuries

Distance travelled by military recruits during basic training is a significant risk factor for lower limb overuse injury

2020 ◽  
pp. bmjmilitary-2020-001445
Author(s):  
Richard S. Whittle
Keyword(s):  
Risk Factor ◽  
Lower Limb ◽  
Overuse Injury ◽  
Military Training ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Medial Tibial Stress Syndrome ◽  
Basic Training ◽  
Stress Syndrome ◽  
High Incidence

IntroductionMilitary initial training results in a high incidence of lower limb overuse injuries (stress fractures and medial tibial stress syndrome). This study aimed to determine whether the distance travelled by recruits, both on and off duty, was a risk factor for overuse injury.Methods14 male airborne infantry recruits from three training platoons carried global positioning system receivers throughout the first 19 weeks of basic military training. Total distance travelled each day was recorded. This was compared with time of clinical manifestation of 52 lower limb overuse injuries (stress fractures and medial tibial stress syndrome) collected from the 276 airborne infantry recruits in the period immediately preceding the study.ResultsRecruits travelled significantly farther than the UK average male population in 17 of 18 measured weeks. Pearson correlation between distance travelled per week and injuries was not significant (p=0.4448); however, correlation between distance travelled per week and injuries two weeks later was significant (p=0.0263). A generalised linear model found distance travelled as a significant covariate (p=0.0144) to the expected number of injuries two weeks later.ConclusionRecruits travel long distances during basic training, particularly in the first few weeks when they are not yet conditioned. This distance travelled is likely a contributing risk factor to the high incidence of overuse injuries seen during training, and strategies to reduce this distance should be explored.

Retrospective analysis of four-year injury data from the Infantry Training Centre, Catterick

2017 ◽  
Vol 164 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Robert Heagerty ◽  
J Sharma ◽  
J Cayton ◽  
N Goodwin
Keyword(s):  
Best Practice ◽  
Financial Burden ◽  
Service Evaluation ◽  
Stress Fractures ◽  
Legal Responsibility ◽  
Overuse Injuries ◽  
Injury Incidence ◽  
Training Centre ◽  
Comprehensive Service ◽  
The Impact

IntroductionMusculoskeletal injury (MSKI) represents a considerable threat to the effectiveness and productivity of military organisations globally. The impact on the medical chain, occupational disposal with associated loss of working days and associated financial burden have far-reaching consequence. The moral and legal responsibility to reduce avoidable injuries through risk assessment and prevention strategies is fundamental to governance and a key component of best practice.MethodsA retrospective observational analysis was performed of 4101 MSKIs presenting from a total inflow of 10 498 British Army Infantry recruits recorded over four consecutive training years between 2012 and 2016. Injury incidence, site, type and week of training were recorded and analysed.ResultsThe total incidence of all MSKI was observed as 39.1%. Overuse injuries were the most common subclassification of injury type (24.5%), followed by trauma (8.8%) and then stress fractures (5.7%). Causes of medical discharge over a four-year cumulative incidence were from overuse injuries (59.3%), stress fractures (21.5%) and trauma (19.2%). 45.5% of all MSKIs presented within the first eight weeks of training.ConclusionsMSKI data highlighted the requirement for a comprehensive service evaluation of the Combat Infantryman’s Course and subsequent justification for the introduction of an injury prevention intervention — Project OMEGA.

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