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Clin Calcium. 2017;27(5):699-706. doi: CliCa1705699706.

[Calcium and bone metabolism across women's life stages. Stress fracture in female athletes.]

[Article in Japanese]

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Clinical Center for Sports Medicine and Sports Dentistry Tokyo Medical and Dental University/Hyperbaric Medical Center, Japan.


Stress fractures are common overuse injuries in athletes, especially in long-distance runner, jumping sports and gymnastics in female athletes. The pathology of stress fracture mainly includes repeated biomechanical loading, which leads to bone micro-damage and failure of bone structure. Female athlete triad(FAT), which includes low energy availability with or without an eating disorder, functional hypothalamic amenorrhea, and osteoporosis, is a serious healthcare concern in female athletes. For prevention and treatment of stress fracture, management of biomechanical factors modifying the load applied to a bone is important, and especially in female athletes, management for FAT is one of the important factors. This report outlines the current knowledge on the epidemiology, diagnosis, treatment and prevention of stress fracture, relating to FAT in female athletes.

[Indexed for MEDLINE]

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