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Bone stress injury

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Apr 5, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Bone Stress Injuries of the Ankle and Foot
    An 86-Month Magnetic Resonance Imaging–based Study of Physically Active Young Adults

    The American Journal of Sports Medicine 35:643-649 (2007)
     
  2. The ability of MRI scans to detect different water level content in soft tissues and bone (i.e. soft tissue and bone edema) has started to revolutionize our understanding of many foot and lower extremity injuries. For example, a very nicely done MRI study from 12 years ago of medial tibial stress syndome and medial tibial stress fractures showed a continuum between the two injuries which now leads many to believe that medial tibial stress syndome is a precursor to medial tibial stress fracture (Fredericson M, Bergman AG, Hoffman KL, Dillingham MS: Tibial stress reaction in runners. Correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system, Am J Sports Med, 23:472-481, 1995).

    In addition, I now include a clinical diagnosis of "metatarsal shaft stress syndrome" (i.e. pre-stress fracture of metatarsal) in my office notes and during my lectures that is based on the significant bone marrow edema seen on MRI in the affected metatarsal shafts of symptomatic individuals. Here's another article on how MRI is being used to help prevent of metatarsal stress fractures in high level competetive athletes.

    I believe MRI scanning will continue to greatly reshape many of our ideas about the diagnosis, etiology, prevention and treatment of injuries in the foot and lower extremity in the coming years.
     
    Last edited: Apr 7, 2007
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Bone stress injury of the ankle in professional ballet dancers seen on MRI.
    Elias I, Zoga AC, Raikin SM, Peterson JR, Besser MP, Morrison WB, Schweitzer ME
    BMC Musculoskelet Disord. 2008 Mar 28;9(1):39
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Ultrasound as a Primary Evaluation Tool of Bone Stress Injuries in Elite Track and Field Athletes
    Agapi Papalada, Nikolaos Malliaropoulos, Kostas Tsitas, Olga Kiritsi, Nat Padhiar, Angelo Del Buono, Nicola Maffulli
    Am J Sports Med February 23, 2012 0363546512437334

     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Low-Intensity Pulsed Ultrasound in Lower Limb Bone Stress Injuries: A Randomized Controlled Trial
    Gan, Thomas Y. MBBS; Kuah, Donald E. MBBS; Graham, Kenneth S. PhD; Markson, Gregory MBBS
    Clinical Journal of Sport Medicine: 24 March 2014
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Tibial Stress Changes in New Combat Recruits for Special Forces: Patterns and Timing at MR Imaging
    Amir Hadid, et al
    Radiology; Ahead of print
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Management and Prevention of Bone Stress Injuries in Long Distance Runners
    Stuart J. Warden, PT, PhD, FACSM1, Irene S. Davis, PT, PhD, FACSM, FAPTA, FASB2, Michael Fredericson, MD3
    Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print
     
  8. Of course, foot orthosis treatment isn't mentioned in the abstract as a method by which to reduce bone stress injuries...I know why.....just another extension of the barefoot running agenda.

    Should read: "The former is most amenable to intervention, and may be modified by interventions aimed at training program design, reducing impact related forces (such as instructing an athlete to ‘run softer’ or with a higher stride rate), and increasing the strength and/or endurance of local musculature (such as the calf for tibial BSIs and foot intrinsics for BSIs of the metatarsals) or by reducing abnormal bone stress by foot orthosis intervention to reduce abnormal locations, temporal patterns and magnitudes of ground reaction force."

    Their abstract is no surprise since one of the authors told me a few years ago that their goal was to get all their patients out of foot orthoses.:bang::craig::butcher:
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Improving Diagnostic Accuracy and Efficiency of Suspected Bone Stress Injuries
    Algorithm and Clinical Prediction Rule

    Nathaniel S. Nye et al
    Sports Health: A Multidisciplinary Approach March 4, 2016
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Bone Stress Injuries in the Military:
    Diagnosis, Management, and Prevention

    Steven F. DeFroda, MD, MEng, Kenneth L. Cameron, PhD, MPH, ATC, Matthew Posner, MD,
    Peter K. Kriz, MD, and Brett D. Owens, MD
    The American Journal of Orthopedics ® July/August 2017
     
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