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Clin J Sport Med. 1996 Apr;6(2):85-9.

Stress fractures: a review of 180 cases.

Author information

1
Olympic Park Sports Medicine Centre, Melbourne, Australia.

Abstract

OBJECTIVE:

To review the cases of stress fracture seen over a 2-year period at a sports medicine clinic.

DESIGN:

One hundred and eighty cases diagnosed as stress fractures on the basis of clinical picture and radiological evidence were reviewed. The following features of each stress fracture were noted: age, sex, site, sport/activity.

SETTING:

A sports medicine centre in Melbourne, Australia.

PATIENTS:

The average age was 21.8 years. Seventy eight of these stress fractures were seen in women, 102 in men.

RESULTS:

The most common sites of stress fractures were the metatarsal bones (n = 42), tibia (n = 36), fibula (n = 30), tarsal navicular (n = 26) and pars interarticularis (n = 17). The most common sport was track (n = 54). Other common sports activities were jogging/distance running (n = 35), dance (n = 32) and Australian football (n = 14). The distribution of sites of stress fractures varied from sport to sport. Among the track athletes (n = 54), navicular (n = 19), tibia (n = 14) and metatarsal (n = 9) were the most common stress fracture sites. The distance runners (n = 35) predominantly sustained tibia (n = 15), and fibula (n = 8) stress fractures, while metatarsal stress fractures (n = 18) were the most common among dancers. The distribution of sports varied with the site of the stress fracture. In the metatarsal stress fractures (n = 42), dance was the most common activity. Distance running (n = 15) and track (n = 14) were the most common sports in the group to have sustained tibia stress fractures (n = 36). Track athletes (n = 14) were particularly prevalent in the navicular stress fracture group (n = 26).

CONCLUSION:

The distribution of sites of stress fractures in this study shows some differences from previously published studies.

PMID:
8673581
[Indexed for MEDLINE]

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