By David B. Burr, Chuck Milgrom
Indiana Univ., Indianapolis. offers info at the etiology and pathophysiology of pressure fractures. offers the old presentation of a tension fracture, and new facts describing in vivo measurements of pressure in components at risk of impairment. additionally information how fractures advance and bone responds to the wounds. DNLM: Fractures, Stress--prevention.
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Extra resources for Musculoskeletal Fatigue and Stress Fractures
49. , Stress fractures in runners, Clin. , 4, 737, 1985. 50. G. , Stress fractures: clinical features and investigation, Med. J. , 153, 155, 1990. 51. , Stress fractures in figure skaters, Am. J. , 18, 277, 1990. 52. , A survey of running injuries in 1505 competitive and recreational runners, J. Sports Med. Phys. Fitness, 30, 307, 1990. 53. , Stress fractures in ballet dancers, Am. J. , 20, 445, 1992. 54. , The low arch, a protective factor in stress fractures. A prospective study of 295 military recruits, Orthop.
However, there are genetically determined differences between the genders, particularly with regard to skeletal alignment and body composition, that could play a role in increasing the risk of stress fracture in women. In general, females are shorter than males and thus have to take relatively longer strides when marching in formation with men in military drills. This has been blamed partly for a higher incidence of pelvic stress fractures in women. 53 Women also have a wider pelvis with an increased Q angle at the knee compared with men.
The failure to find an association between other biomechanical features and stress fractures in cohort studies does not necessarily rule out their importance. A thorough biomechanical assessment is an essential part of treatment and prevention of stress fractures. Until the contribution of biomechanical abnormalities to stress fracture risk is clarified through scientific research, correction of such abnormalities should be attempted. Muscle Flexibility and Joint Range of Motion The role of flexibility is difficult to evaluate, as flexibility encompasses a number of characteristics including active joint mobility, ligamentous laxity, and muscle length.
Musculoskeletal Fatigue and Stress Fractures by David B. Burr, Chuck Milgrom