Stress Fractures

  • Timothy L. MillerEmail author
  • Christopher C. Kaeding


Stress fractures are fatigue fractures of bone and result from an overuse mechanism. These injuries present most commonly in the legs are feet of long-distance runners and military personnel but can also in the upper extremity and the spine depending on the causative activity. A myriad of nutritional, hormonal, and biomechanical factors contribute to the development of bony stress injuries, and no two stress fractures behave exactly alike. A detailed history, thorough physical examination, and proper imaging are required for diagnosing and classifying these injuries. Treatment of these injuries requires nutritional and emotional support, rest from the causative activity, and at times surgical fixation. Recently developed biological treatment options may help to stabilize these injuries and stimulate more rapid healing.


Bone Fatigue fracture High risk Low risk March fracture Overuse injury Runners Stress fracture Stress injury Stress reaction 


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Copyright information

© ISAKOS 2019

Authors and Affiliations

  1. 1.Orthopaedic Surgery and Sports MedicineThe Ohio State University Wexner Medical Center, Jameson Crane Sports Medicine InstituteColumbusUSA
  2. 2.Ohio State University Athletics, The Ohio State University Wexner Medical Center Endurance Medicine TeamColumbusUSA
  3. 3.Department of OrthopaedicsThe Ohio State University Wexner Medical Center Sports Medicine, Jameson Crane Sports Medicine InstituteColumbusUSA
  4. 4.Department of AthleticsThe Ohio State UniversityColumbusUSA

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