Stress fractures in adolescent competitive athletes with open physis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-12-03

AUTHORS

Philipp Niemeyer, Annelie Weinberg, Holger Schmitt, Peter Cornelius Kreuz, Volker Ewerbeck, Philip Kasten

ABSTRACT

There have been no studies devoted exclusively to stress fractures in competitive athletes with immature skeletal systems so far. The object of this case series was to describe special features of stress fractures in athletes with immature skeletal systems, with special reference to sport-specific strain, diagnosis and treatment results. The study population was made up of 19 children and adolescents with a total of 21 stress fractures. The average observation period was 4.83 years [standard deviation (SD) 2.69] and the average age at diagnosis, 14.04 years (SD 4.7). The lower extremity was affected in most of our cases. In adolescent athletes, endurance sports appear to lead preferentially to stress fractures in the region of the metatarsal bones, while sports requiring sudden stops at high speed appear to increase the risk of fractures in the region of the tibial diaphysis (P=0.0322). Most (20 of 21) of the fractures in this study were treated conservatively with refraining from athletic activity and reduction of stress/weight-bearing for an average of 6.73 weeks (SD 2.91). In five cases the extremity was in addition immobilized in a plaster cast for 5.32 weeks (SD 2.21). Complete healing was achieved in 14 cases. In seven cases, however, the treatment did not lead to a satisfactory outcome. Most of the patients whose symptoms persisted over a long period had fractures in the tibia and were engaged in sports requiring frequent sudden stops. Our data suggest that stress fractures in athletes, whose skeletal systems are still immature, lead to a clinical picture that does not always culminate in a good outcome of treatment. We therefore recommend a thorough and early diagnostic investigation (including MRI) and consistent treatment whenever a patient’s history and clinical picture give any indication that a stress fracture might be present. More... »

PAGES

771-777

References to SciGraph publications

  • 1997. Stress fractures in athletes. in DER ORTHOPÄDE
  • 2000-03. Pediatric stress fractures in INTERNATIONAL ORTHOPAEDICS
  • 1997-11-01. Ermüdungsfrakturen bei Athleten in DER ORTHOPÄDE
  • 2002-10. Stressfrakturen bei Athleten in DER RADIOLOGE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-005-0003-8

    DOI

    http://dx.doi.org/10.1007/s00167-005-0003-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1044187419

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/16328465


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