Document Detail

Mechanisms and management of stress fractures in physically active persons.
MedLine Citation:
PMID:  16558676     Owner:  NLM     Status:  PubMed-not-MEDLINE    
OBJECTIVE: To describe the anatomy of bone and the physiology of bone remodeling as a basis for the proper management of stress fractures in physically active people.
DATA SOURCES: We searched PubMed for the years 1965 through 2000 using the key words stress fracture, bone remodeling, epidemiology, and rehabilitation.
DATA SYNTHESIS: Bone undergoes a normal remodeling process in physically active persons. Increased stress leads to an acceleration of this remodeling process, a subsequent weakening of bone, and a higher susceptibility to stress fracture. When a stress fracture is suspected, appropriate management of the injury should begin immediately. Effective management includes a cyclic process of activity and rest that is based on the remodeling process of bone.
CONCLUSIONS/RECOMMENDATIONS: Bone continuously remodels itself to withstand the stresses involved with physical activity. Stress fractures occur as the result of increased remodeling and a subsequent weakening of the outer surface ofthe bone. Once a stress fracture is suspected, a cyclic management program that incorporates the physiology of bone remodeling should be initiated. The cyclic program should allow the physically active person to remove the source of the stress to the bone, maintain fitness, promote a safe return to activity, and permit the bone to heal properly.
William A Romani; Joe H Gieck; David H Perrin; Ethan N Saliba; David M Kahler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of athletic training     Volume:  37     ISSN:  1938-162X     ISO Abbreviation:  J Athl Train     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-07-02     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9301647     Medline TA:  J Athl Train     Country:  United States    
Other Details:
Languages:  eng     Pagination:  306-14     Citation Subset:  -    
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