Stress fractures

Critical Reviews in Physical and Rehabilitation Medicine

Volumn 9, Issue 2, 1997, Pages 151-190

  Brukner, Peter D ^a   Bennell, Kim L ^b  

^a OLYMPIC PARK SPORTS MEDICINE CENTRE   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Athletes; Exercise; Injury; Prevention; Stress fractures; Treatment

Indexed keywords

ATHLETE; BODY COMPOSITION; BONE DENSITY; DANCING; DISEASE PREDISPOSITION; HUMAN; KINESIOTHERAPY; MENSTRUAL IRREGULARITY; NUTRITIONAL STATUS; PRIORITY JOURNAL; REST; REVIEW; RISK FACTOR; RUNNING; STRESS FRACTURE; TREATMENT PLANNING; WEIGHT BEARING;

EID: 0030785305     PISSN: 08962960     EISSN: None     Source Type: Journal    
DOI: 10.1615/CritRevPhysRehabilMed.v9.i2.30     Document Type: Review

References (202)

1. Grimston, S. K. and Zernicke, R. F., Exerciserelated stress responses in bone, J. Appl. Biomech., 9, 2-14, 1993.
2. Martin, A. D. and McCulloch, R. G., Bone dynamics: stress, strain and fracture, J. Sports Sci., 5, 155-163, 1987.
3. Stechow, A. W., Fussoedem und roentgenstrahlen, Dtsch Mil-Aerztl Zeitg., 26, 465-471, 1897.
4. Deutschlander, C., Ueber eine eigenartige mittelfuszerkrankung, Zentralbl. f. Chir., 48, 1422-1426, 1921.
5. Devas, M. B. and Sweetnam, R., Stress fractures of the fibula: a review of 50 cases in athletes, J. Bone Jt. Surg., 38B, 818-829, 1956.
6. Dodd, H., Pied force or march foot, Br. J. Surg., 21, 131-144, 1933.
7. Roberts, S. M. and Vogt, E. C., Pseudofracture of the tibia, J. Bone Jt. Surg., 21, 891-898, 1939.
8. Weaver, J. B. and Francisco, C. B., Pseudofractures. A manifestation of non-suppurative osteomyelitis, J. Bone Jt. Surg., 22, 610-615, 1940.
9. Burrows, H. J., Fatigue fractures of the fibula, J. Bone Jt. Surg., 30B, 266-279, 1948.
10. Hullinger, C. W., Insufficiency fracture of the calcaneus. Similar to march fracture of the metatarsal, J. Bone Jt. Surg., 26, 751-757, 1944.
11. Jansen, M., March fractures, J. Bone Jt. Surg., 8, 262-267, 1926.
12. Sloane, D. and Sloane, M. F., March foot, Am. J. Surg., 31, 167-169, 1936.
13. Roub, L. W., Gumerman, L. W., Hanley, E. N., Williams Clark, M., Goodman, M., and Herbert, D. L., Bone stress: a radionuclide imaging perspective, Radiology, 132, 431-438, 1979.
14. Li, G., Zhang, S., Chen, G., Chen, H., and Wang, A., Radiographic and histologic analyses of stress fracture in rabbit tibias, Am. J. Sports Med., 13, 285-294, 1985.
15. Burr, D. B., Milgrom, C., Boyd, R. D., Higgins, W. L., Robin, G., and Radin, E. L., Experimental stress fractures of the tibia, J. Bone Jt. Surg., 72, 370-375, 1990.
16. Martin, R. B. and Burr, D. B., A hypothetical mechanism for the stimulation of osteonal remodelling by fatigue damage, J. Biomech., 15, 137-139, 1982.
17. Mori, S. and Burr, D. B., Increased intracortical remodeling following fatigue damage, Bone, 14, 103-109, 1993.
18. Schaffler, M. B., Radin, E. L., and Burr, D. B., Mechanical and morphological effects of strain rate on fatigue of compact bone, Bone, 10, 207-214, 1989.
19. Schaffler, M. B., Radin, E. L., and Burr, D. B., Long-term fatigue behavior of compact bone at low strain magnitude and rate, Bone, 11, 321-326, 1990.
20. Barrow, G. W. and Saha, S., Menstrual irregularity and stress fractures in collegiate female distance runners, Am. J. Sports Med., 16, 209-216, 1988.
21. Brunet, M. E., Cook, S. D., Brinker, M. R., and Dickinson, J. A., A survey of running injuries in 1505 competitive and recreational runners, J. Sports Med. Phys. Fitness, 30, 307-315, 1990.
22. Cameron, K. R., Telford, R. D., Wark, J. D., and Hopper, J., Stress fractures in Australian competitive runners. Australian Sports Medicine Federation Annual Scientific Conference in Sports Medicine, Perth, Australia, 1992.
23. Bennell, K. L., Malcolm, S. A., Thomas, S. A., Ebeling, P. R., McCrory, P. R., Wark, J. D., and Brukner, P. D., Risk factors for stress fractures in female track-and-field athletes, a retrospective analysis, Clin. J. Sport Med., 5, 229-235, 1995.
24. Bennell, K. L., Malcolm, S. A., Thomas, S. A., Wark, J. D., and Brukner, P. D., The incidence and distribution of stress fractures in competitive track and field athletes, Am. J. Sports Med., 26, 211-217, 1996.
25. Warren, M. P., Brooks-Gunn, J., Hamilton, L. H., Warren, L. F., and Hamilton, W. G., Scoliosis and fractures in young ballet dancers: relation to delayed menarche and secondary amenorrhea, N. Engl. J. Med., 314, 1348-1353, 1986.
26. Frusztajer, N. T., Dhuper, S., Warren, M. P., Brooks-Gunn, J., and Fox, R. P., Nutrition and the incidence of stress fractures in ballet dancers, Am. J. Clin. Nutr., 51, 779-783, 1990.
27. Kadel, N. J., Teitz, C. C., and Kronmal, R. A., Stress fractures in ballet dancers, Am. J. Sports Med., 20, 445-449, 1992.
28. Johnson, A. W., Weiss, C. B., and Wheeler, D. L., Stress fractures of the femoral shaft in athletes - more common than expected. A new clinical test, Am. J. Sports Med., 22, 248-256, 1994.
29. Goldberg, B. and Pecora, C., Stress fractures. A risk of increased training in freshman, Phys. Sports Med., 22, 68-78, 1994.
30. Pecina, M., Bojanic, I., and Dubravcic, S., Stress fractures in figure skaters, Am. J. Sports Med., 18, 277-279, 1990.
31. Dixon, M. and Fricker, P., Injuries to elite gymnasts over 10 yr, Med. Sci. Sport Exer., 25, 1322-1329, 1993.
32. Protzman, R. R. and Griffis, C. G., Stress fractures in men and women undergoing military training, J. Bone Jt. Surg., 59-A, 825, 1977.
33. Reinker, K. A. and Ozburne, S., A comparison of male and female orthopaedic pathology in basic training, Mil. Med., Aug, 532-536, 1979.
34. Scully, T. J. and Besterman, G., Stress fracture - a preventable training injury, Mil. Med., 147, 285-282, 1982.
35. Brudvig, T. J. S., Gudger, T. D., and Oberinger, L., Stress fractures in 295 trainees: a one-year study of incidence as related to age, sex, and race, Mil. Med., 148, 666-667, 1983.
36. Gardner, L. I., Dziados, J. E., Jones, B. H., Brundage, J. F., Harris, J. M., Sullivan, R., and Gill, P., Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole, Am. J. Public Health, 78, 1563-1567, 1988.
37. Pester, S. and Smith, P. C., Stress fractures in the lower extremities of soldiers in basic training, Orthoped. Rev., 21, 297-303, 1992.
38. Taimela, S., Kujala, U. M., Dahlstrom, S., and Koskinen, S., Risk factors for stress fractures during physical training programs, Clin. J. Sports Med., 2, 105-108, 1992.
39. Jones, B. H., Bovee, M. W., Harris, J. M., and Cowan, D. N., Intrinsic risk factors for exerciserelated injuries among male and female army train-ees, Am. J. Sports Med., 21, 705-710, 1993.
40. Beck, T. J., Ruff, C. B., Mourtada, F. A., Shaffer, R. A., Maxwell-Williams, K., Kao, G. L., Sartoris, D. J., and Brodine, S., Dual-energy X-ray absorptiometry derived structural geometry for stress fracture prediction in male U.S. marine corps recruits, J. Bone Miner. Res., 11, 645-653, 1996.
41. Milgrom, C., Giladi, M., Stein, M., Kashtan, H., Margulies, J. Y., Chisin, R., Steinberg, R., and Aharonson, Z., Stress fractures in military recruits. A prospective study showing an unusually high incidence, J. Bone Jt. Surg., 67-B, 732-735, 1985.
42. Milgrom, C., Finestone, A., Shlamkovitch, N., Rand, N., Lev, B., Simkin, A., and Wiener, M., Youth is a risk factor for stress fracture. A study of 783 infantry recruits, J. Bone Jt. Surg., 76-B, 20-22, 1994.
43. Jones, H., Harris, J. M., Vinh, T. N., and Rubin, C., Exercise-induced stress fractures and stress reactions of bone: epidemiology, etiology, and classification, Exer. Sports Sci. Rev., 17, 379-422, 1989.
44. Milgrom, C., Giladi, M., Chisin, R., and Dizian, R., The long-term followup of soldiers with stress fractures, Am. J. Sports Med., 13, 398-400, 1985.
45. Carter, D. R. and Hayes, W. C., Fatigue life of compact bone. 1. Effects of stress amplitude, temperature and density, J. Biomech., 9, 27-34, 1976.
46. Keller, T. S., Lovin, J. D., Spengler, D. M., and Carter, D. R., Fatigue of immature baboon cortical bone, J. Biomech., 18, 297-304, 1985.
47. Matheson, G. O., Macintyre, J. G., Taunton, J. E., Clement, D. B., and Lloyd-Smith, R., Musculoskeletal injuries associated with physical activity in older adults, Med. Sci. Sport Exer., 21, 379-385, 1989.
48. Cohn, S. H., Abesamis, C., Yasumura, S., Aloia, J. F., Zanzi, I., and Ellis, K. J., Comparative skeletal mass and radial bone mineral content in black and white women, Metabolism, 26, 171-178, 1977.
49. Giladi, M., Milgrom, C., Stein, M., Kashtan, H., Margulies, J., Chisin, R., Steinberg, R., and Aharonson, Z., The low arch, a protective factor in stress fractures. A prospective study of 295 military recruits, Orthoped. Rev., 14, 709-712, 1985.
50. Brubaker, C. E. and James, S. L., Injuries to runners, J. Sports Med., 2, 189-198, 1974.
51. James, S. L., Bates, B. T., and Osternig, L. R., Injuries to runners, Am. J. Sports Med., 6, 40-49, 1978.
52. Orava, S., Stress fractures, Br. J. Sports Med., 14, 40-44, 1980.
53. Pagliano, J. and Jackson, D., The ultimate study of running injuries, Runners World, November, 42-50, 1980.
54. Witman, P. A., Melvin, M., and Nicholas, J. A., Common problems seen in a metropolitan sports injury clinic, Phys. Sports Med., 9, 105-108, 1981.
55. Taunton, J. E., Clement, D. B., and Webber, D., Lower extremity stress fractures in athletes, Phys. Sports Med., 9, 77-86, 1981.
56. Clement, D. B., Taunton, J. E., Smart, G. W., and McNicol, K. L., A survey of overuse running injuries, Phys. Sports Med., 9, 47-58, 1981.
57. Sullivan, D., Warren, R. F., Pavlov, H., and Kelman, G., Stress fractures in 51 runners, Clin. Orthoped. Rel. Res., 187, 188-192, 1984.
58. Hulkko, A. and Orava, S., Stress fractures in athletes, Int. J. Sports Med., 8, 221-226, 1987.
59. Matheson, G. O., Clement, D. B., McKenzie, D. C., Taunton, J. E., Lloyd-Smith, D. R., and Macintyre, J. G., Scintigraphic uptake of 99m Tc at non-painful sites in athletes with stress fractures, Sports Med., 4, 65-75, 1987.
60. Courtenay, B. G. and Bowers, D. M., Stress fractures: clinical features and investigation, Med. J. Austr., 153, 155-156, 1990.
61. Ha, K. I., Hahn, S. H., Chung, M., Yang, B. K., and Yi, S. R., A clinical study of stress fractures in sports activities, Orthopaedics, 14, 1089-1095, 1991.
62. Benazzo, F., Barnabei, G., Ferrario, A., Castelli, C., and Fischetto, G., Stress fractures in track and field athletes, J. Sports Traumatol. Rel. Res., 14, 51-65, 1992.
63. Brukner, P., Bradshaw, C., Khan, K., and White, S., Stress fractures: a series of 180 cases, Clin. J. Sport Med., 6, 85-89, 1996.
64. Brukner, P. and Khan, K., Clinical Spans Medicine, McGraw Hill, Sydney, 1993.
65. Matheson, G. O., Clement, D. B., McKenzie, D. C., Taunton, J. E., Lloyd-Smith, D. R., and Macintyre, J. G., Stress fractures in athletes. A study of 320 cases, Am. J. Sports Med., 15, 46-58, 1987.
66. Carlson, G. D. and Wertz, R. F., March fracture, including others than those of the foot, J. Bone Jt. Surg., 43, 48-54, 1944.
67. Pocock, N. A., Eisman, J. A., Hopper, J., Yeates, M., Sambrook, P. N., and Eberl, S., Genetic determinants of bone mass in adults, J. Clin. Invest., 80, 706-710, 1987.
68. Soroko, S. B., Barrett-Connor, E., Edelstein, S. L., and Kritz-Silverstein, D., Family history of osteoporosis and bone mineral density at the axial skeleton: the Rancho Bernardo study, J. Bone Miner. Res., 9, 761-769, 1994.
69. Seeman, E., Hopper, J. L., Bach, L. A., Cooper, M. E., Parkinson, E., McKay, J., and Jerums, G., Reduced bone mass in daughters of women with osteoporosis, N. Engl. J. Med., 320, 554-558, 1989.
70. Prior, J. C., Vigna, Y. M., Schechter, M. T., and Burgess, A. E., Spinal bone loss and ovulatory disturbances, N. Engl. J. Med., 323, 1221-1227, 1990.
71. Singer, A., Ben-Yehuda, O., Bern-Ezra, Z., and Zaltzman, S., Multiple identical stress fractures in monozygotic twins, J. Bone Jt. Surg., 72-A, 444-445, 1990.
72. Myburgh, K. H., Hutchins, J., Fataar, A. B., Hough, S. F., and Noakes, T. D., Low bone density is an etiologic factor for stress fractures in athletes, Ann. Intern. Med., 113, 754-759, 1990.
73. Snow, G. R. and Anderson, C., The effects of continuous progestogen treatment on cortical bone remodelling activity in beagles, Calcif. Tissue Int., 37, 282-286, 1985.
74. Lindberg, J. S., Fears, W. B., Hunt, M. M., Powell, M. R., Boll, D., and Wade, C. E., Exercise-induced amenorrhea and bone density, Ann. Intern. Med., 101, 647-648, 1984.
75. Marcus, R., Cann, C., Madvig, P., Minkoff, J., Goddard, M., Bayer, M., Martin, M., Gaudiani, L., Haskell, W., and Genant, H., Menstrual function and bone mass in elite women distance runners, Ann. Intern. Med., 102, 158-163, 1985.
76. Lloyd, T., Triantafyllou, S. J., Baker, E. R., Houts, P. S., Whiteside, J. A., Kalenak, A., and Tumpf, P. G., Women athletes with menstrual irregularity have increased musculoskeletal injuries, Med. Sci. Sport Exer., 18, 374-379, 1986.
77. Nelson, M. E., Clark, N., Otradovec, C., and Evans, W. J., Elite women runners: association between menstrual status, weight history and stress fractures, Med. Sci. Sport Exer., 19, S13, 1987.
78. Grimston, S. K., Engsberg, J. R., Kloiber, R., and Hanley, D. A., Bone mass, external loads, and stress fractures in female runners, Int. J. Sport Biomech., 7, 293-302, 1991.
79. Bennell, K. L., Malcolm, S. A., Thomas, S. A., Reid, S. J., Brukner, P. D., Ebeling, P. R., and Wark, J. D., Risk factors for stress fractures in track and field athletes: a 12 month prospective study, Am. J. Sports Med., 24, 810-818, 1996.
80. Clark, N., Nelson, M., and Evans, W., Nutrition education for elite female runners, Phys. Sports Med., 16, 124-136, 1988.
81. Grimston, S. K., Engsberg, J. R., Kloiber, R., and Hanley, D. A., Menstrual, calcium, and training history: relationship to bone health in female runners, Clin. Sport Med., 2, 119-128, 1990.
82. Kaiserauer, S., Snyder, A. C., Sleeper, M., and Zierath, J., Nutritional, physiological, and menstrual status of distance runners, Med. Sci. Sport Exer., 21, 120-125, 1989.
83. Guler, F. and Hascelik, Z., Menstrual dysfunction rate and delayed menarche in top athletes of team games, Sports Med. Training Rehabil., 4, 99-106, 1993.
84. Wolman, R. L. and Harries, M. G., Menstrual abnormalities in elite athletes, Clin. Sport Med., 1, 95-100, 1989.
85. Carbon, R., Sambrook, P. N., Deakin, V., Fricker, P., Eisman, J. A., Maguire, K., and Yeates, M. G., Bone density of elite female athletes with stress fractures, Med. J. Austr., 153, 373-376, 1990.
86. Warren, M. P., Brooks-Gunn, J., Fox, R. P., Lancelot, C., Newman, D., and Hamilton, W. G., Lack of bone accretion and amenorrhea: evidence for a relative osteopenia in weight bearing bones, J. Clin. Endocrinol. Metab., 72, 847-853, 1991.
87. Frisch, R. E., Gotz-Weibergen, A. V., McArthur, J. W., Albright, T., Witschi, J., Bullen, B., Birnholz, J., Reed, R. B., and Hermann, H., Delayed menarche and amenorrhea of college athletes in relation to age of onset of training, JAMA, 246, 1559-1563, 1981.
88. Moisan, J., Meyer, F., and Gingras, S., A nested case-control study of the correlates of early menarche, Am. J. Epidemiol, 132, 953-961, 1990.
89. Carter, D. R., Caler, W. E., Spengler, D. M., and Frankel, V. H., Fatigue behaviour of adult cortical bone: the influence of mean strain and strain range, Acta Orthoped. Scand., 52, 481-490, 1981.
90. Pouilles, J. M., Bernard, J., Tremollieres, F., Louvet, J. P., and Ribot, C., Femoral bone density in young male adults with stress fractures, Bone, 10, 105-108, 1989.
91. Giladi, M., Milgrom, C., Simkin, A., and Danon, Y., Stress fractures: identifiable risk factors, Am. J. Sports Med., 19, 647-652, 1991.
92. Giladi, M., Milgrom, C., Simkin, A., Stein, M., Kashtan, H., Margulies, J., Rand, N., Chisin, R., Steinberg, R., Aharonson, Z., Kedem, R., and Frankel, V. H., Stress fractures and tibial bone width. A risk factor, J. Bone Jt. Surg., 69-B, 326-329, 1987.
93. Milgrom, C., Giladi, M., Simkin, A., Rand, N., Kedem, R., Kashtan, H., Stein, M., and Gomori, M., The area moment of inertia of the tibia: a risk factor for stress fractures, J. Biomech., 22, 1243-1248, 1989.
94. Mustajoki, P., Laapio, H., and Meurman, K., Calcium metabolism, physical activity, and stress fractures, Lancet, Oct., 797, 1983.
95. Zernicke, R., McNitt-Gray, J., Otis, C, Loitz, B., Salem, G., and Finerman, G., Stress fracture risk assessment among elite collegiate women runners, International Society of Biomechanics XTVth Congress, 1012, 1993.
96. Myburgh, K. H., Grobler, N., and Noakes, T. D., Factors associated with shin soreness in athletes, Phys. Sports Med., 16, 129-134, 1988.
97. Matkovic, V. and Heaney, R. P., Calcium balance during human growth: evidence for threshold behavior, Am. J. Clin. Nutr., 55, 992-996, 1992.
98. Schwellnus, M. P. and Jordaan, G., Does calcium supplementation prevent bone stress injuries? A clinical trial, Int. J. Sport Nutr., 2, 165-174, 1992.
99. Frederick, E. C. and Hagy, J. L., Factors affecting peak vertical ground reaction forces in running, Int. J. Sport Biomech., 2, 41-49, 1986.
100. Lindsay, R., Cosman, F., Herrington, B. S., and Himmelstein, S., Bone mass and body composition in normal women, J. Bone Miner. Res., 7, 55-63, 1992.
101. Elliot, J. R., Gilchrist, N. L., Wells, J. E., Ayling, E., Turner, J., and Sainsbury, R., Historical assessment of risk factors in screening for osteopenia in a normal Caucasian population, Aust. N. Z. J. Med., 23, 458-462, 1993.
102. Stanitski, C. L., McMaster, J. H., and Scranton, P. E., On the nature of stress fractures, Am. J. Sports Med., 6, 391-396, 1978.
103. Meyer, S. A., Saltzman, C. L., and Albright, J. P., Stress fractures of the foot and leg, Clin. Sports Med., 12, 395-413, 1993.
104. Voloshin, A. and Wosk, J., An in vivo study of low back pain and shock absorption in the human locomotor system, J. Biomech., 15, 21-27, 1982.
105. Clement, D. B., Tibial stress syndrome in athletes, J. Sports Med., 2, 81-85, 1974.
106. Milgrom, C., The Israeli elite infantry recruit: a model for understanding the biomechanics of stress fractures, J. R. Coll. Surg. Edinburgh, 34, S18-S22, 1989.
107. Scott, S. H. and Winter, D. A., Internal forces at chronic running injury sites, Med. Sci. Sport Exer., 22, 357-369, 1990.
108. Grimston, S. K., Nigg, B. M., Fisher, V., and Ajemian, S. V., External loads throughout a 45 minute run in stress fracture and non-stress fracture runners, J. Biomech., 27, 668, 1994.
109. Worthen, B. M. and Yanklowitz, B. A. D., The pathophysiology and treatment of stress fractures in military personnel, J. Am. Pod. Med. Assoc., 68, 317-325, 1978.
110. Greaney, R. B., Gerber, R. H., Laughlin, R. L., Kmet, J. P., Metz, C. D., Kilcheski, T. S., Rao, B. R., and Silverman, E. D., Distribution and natural history of stress fractures in U.S. marine recruits, Radiology, 146, 339-346, 1983.
111. Protzman, R. R., Physiologic performance of women compared to men, Am. J. Sports Med., 7, 191-194, 1979.
112. McBryde, A. M., Stress fractures in runners, Clin. Sports Med., 4, 737-752, 1985.
113. McMahon, T. A. and Greene, P. R., The influence of track compliance on running, J. Biomech., 12, 893-904, 1979.
114. Steele, J. R. and Milburn, P. D., Effect of different synthetic sport surfaces on ground reactions forces at landing in netball, Int. J. Sport Biomech., 4, 130-145, 1988.
115. Cook, S. D., Brinker, M. R., and Poche, M., Running shoes, Sports Med., 10, 1-8, 1990.
116. Milgrom, C., Burr, D. B., Boyd, R. D., Robin, G. C., Higgins, W. L., and Radin, E. L., The effect of a viscoelastic orthotic on the incidence of tibial stress fractures in an animal model, Foot Ankle, 10, 276-279, 1990.
117. Milgrom, C., Giladi, M., Kashtan, H., Simkin, A., Chisin, R., Margulies, J., Steinberg, R., Aharonson, Z., and Stein, M., A prospective study of the effect of a shock-absorbing orthotic device on the incidence of stress fractures in military recruits, Foot Ankle, 6, 101-104, 1985.
118. Schwellnus, M. P., Jordaan, G., and Noakes, T. D., Prevention of common overuse injuries by the use of shock absorbing insoles, Am. J. Sports Med., 18, 636-641, 1990.
119. Simkin, A., Leichter, L, Giladi, M., Stein, M., and Milgrom, C., Combined effect of foot arch structure and an orthotic device on stress fractures, Foot Ankle, 10, 25-29, 1989.
120. Brosh, T. and Arcan, M., Toward early detection of the tendency to stress fractures, Clin. Biomech., 9, 111-116, 1994.
121. D'Amico, J. C., Dinowitz, H. D., and Polchaninoff, M., Limb length discrepancy: an electrodynographic analysis, J. Am. Pod. Med. Assoc., 75, 639-643, 1985.
122. Friberg, O., Leg length asymmetry in stress fractures. A clinical and radiological study, J. Sports Med., 22, 485-488, 1982.
123. Montgomery, L. C., Nelson, F. R. T., Norton, J. P., and Deuster, F. A., Orthopedic history and examination in the etiology of overuse injuries, Med. Sci. Sport Exer., 21, 237-243, 1989.
124. Hughes, L. Y., Biomechanical analysis of the foot and ankle for predisposition to developing stress fractures, J. Orthoped. Sports Phys. Ther., 7, 96-101, 1985.
125. Hamill, J., Bates, B. T., Knutzen, K. M., and Kirkpatrick, G. M., Relationship between selected static and dynamic lower extremity measures, Clin. Biomech., 4, 217-225, 1989.
126. Cole, J. P. and Gossman, D., Ultrasonic stimulation of low lumbar nerve roots as a diagnostic procedure: a preliminary report, Clin. Orthoped., 153, 126, 1979.
127. Delacerda, F. G., A case study: application of ultrasound to determine a stress fracture of the fibula, J. Orthoped. Sports Phys. Ther., 2, 134, 1981.
128. Moss, A. and Mowat, A. G., Ultrasonic assessment of stress fractures, Br. Med. J., 286, 1478, 1983.
129. Prather, J. L., Nusynowitz, M. L., Snowdy, H. A., Hughes, A. D., McCartney, W. H., and Bagg, R. J., Scintigraphic findings in stress fractures, J. Bone Jt. Surg., 59-A, 869-874, 1977.
130. Milgrom, C., Chisin, R., Giladi, M., Stein, M., Kashtan, H., Magulies, J., and Atlan, H., Negative bone scan and impending tibial stress fractures. A report of three cases, Am. J. Sports Med., 12, 488-491.1984.
131. Keene, J. S. and Lash, E. G., Negative bone scan in a femoral neck stress fracture, Am. J. Sports Med., 20, 234-236, 1992.
132. Monteleone, G., Stress fractures in the athlete, Orthoped. Clin. North Am., 26, 423-432, 1995.
133. Batillas, J., Vasilas, A., and Pizzi, W. F., Bone scanning in the detection of occult fractures, J. Trauma, 21, 564-569, 1981.
134. Ammann, W. and Matheson, G. O., Radionuclide bone imaging in the detection of stress fractures, Clin. J. Sports Med., 1, 115-122, 1991.
135. Rupani, H. D., Holder, L. E., Espinola, D. A., and Engin, S. I., Three-phase radionuclide bone imaging in sports medicine, Radiology, 156, 187-196, 1985.
136. 99mTc-phosphate imaging in peripheral bone trauma, Radiology, 119, 637-641, 1976.
137. Saunders, A. J. S., Elsayed, T. F., Hilson, A. J. W., Maisey, M. N., and Grahame, R., Stress lesions of the lower leg and foot, Clin. Radiol., 30, 649-651, 1979.
138. Giladi, M., Ziv, Y., and Aharonson, Z., Comparison between radiography, bone scan and ultrasound in the diagnosis of stress fractures, Mil. Med., 149, 459-461, 1984.
139. Devereaux, M. D., Parr, G. R., Lachman, S. M., Page-Thomas, P., and Hazleman, B. L., The diagnosis of the stress fractures in athletes, JAMA, 252, 531-533, 1984.
140. Somer, K. and Meurman, K. O. A., Computed tomography of stress fractures, J. Comput. Assisted Tomogr., 6, 109-115, 1982.
141. Clement, D. B., Ammann, W., Taunton, J. E., Lloyd-Smith, R., Jesperson, D., McKay, H., Goldring, J., and Matheson, G. O., Exerciseinduced stress injuries to the femur, Int. J. Sports Med., 14, 347-352, 1993.
142. Prather, J. L., Nusynowitz, M. L., Snowdy, H. A., Hughes, A. D., McCartney, W. H., and Bagg, R. J., Scintigraphic findings in stress fractures, J. Bone Jt. Surg., 59-A, 869-874, 1974.
143. Zwas, S. T., Elkanovitch, R., and Frank, G., Interpretation and classification of bone scintigraphic findings in stress fractures, J. Nucl. Med., 28, 452-457, 1987.
144. Wilcox, J. R., Moniot, A. L., and Green, J. P., Bone scanning in the evaluation of exercise-related stress injuries, Radiology, 123, 699-70, 1977.
145. Martire, J. R., The role of nuclear medicine bone scan in evaluating pain in athletic injuries, Clin. Sports Med., 6, 13-37, 1987.
146. Sterling, J. C., Edelstein, D. W., Calvo, R. D., and Webb, R., Stress fractures in the athlete. Diagnosis and management, Sports Med., 14, 336-346, 1992.
147. Lombardo, S. J. and Benson, D. W., Stress fractures of the femur in runners, Am. J. Sports Med., 10, 219-227, 1982.
148. Meurman, K. O. A. and Elfving, S., Stress fracture of the cuneiform bones, Br. J. Radiol., 53, 157-160, 1980.
149. Daffner, R. H., Martinez, S., and Gehweiler, J. A., Stress fractures in runners, JAMA, 247, 1039-1041, 1982.
150. Rosen, P. R., Micheli, L. J., and Treves, S., Early scintigraphic diagnosis of bone stress and fractures in athletic adolescents, Pediatrics, 70, 11-15, 1982.
151. 99mTc-polyphospate, Radiology, 121, 683-687, 1976.
152. Butler, J. E., Brown, S. L., and McConnell, B. G., Subtrochanteric stress fractures in runners, Am. J. Sports Med., 10, 228-232, 1982.
153. Khan, K. M., Fuller, P. J., Brukner, P. D., Kearney, C., and Burry, H. C., Outcome of conservative and surgical management of navicular stress fracture in athletes, Am. J. Sports Med., 20, 657-666, 1992.
154. Kiss, Z. A., Khan, K. M., and Fuller, P. J., Stress fractures of the tarsal navicular bone: CT findings in 55 cases, Am. J. Roentgenol., 160, 111-115, 1993.
155. Terrell, P. N. and Davies, A. M., Magnetic resonance appearances of fatigue fractures of the long bones of the lower limb, Br. J. Radiol., 67, 332-338, 1994.
156. Lee, J. K. and Yao, L., Stress fractures: MR imaging, Radiology, 169, 217-220, 1988.
157. Stafford, S. A., Rosenthal, D. L, Gebhardt, M. C., Brady, T. J., and Scott, J. A., MRI in stress fractures, Am. J. Roentgenol., 147, 553-556, 1986.
158. Steinbronn, D. J., Bennett, G. L., and Kay, D. B., The use of magnetic resonance imaging in the diagnosis of stress fractures of the foot and ankle: four case reports, Foot Ankle, 15, 80-83, 1994.
159. Griffiths, H. J., Galloway, H. R., and Arendt, L., The MR spectrum of stress injury to bone and its clinical relevance, Am. J. Sports Med., in press.
160. Fredericson, M., Bergman, G., Hoffman, K. L., and Dillingham, M. S., 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.
161. Earnst, J., Stress fracture of the neck of the femur, J. Trauma, 4, 71-73, 1964.
162. Devas, M. B., Stress fractures of the femoral neck, J. Bone Jt. Surg., 47B, 728-38, 1965.
163. Blickenstaff, L. D. and Morris, J. M., Fatigue fracture of the femoral neck, J. Bone Jt. Surg., 45-A, 1031-1047, 1966.
164. Fullerton, L. R. and Snowdy, H. A., Femoral neck stress fractures, Am. J. Sports Med., 16, 365-377, 1988.
165. Fullerton, L. R. J., Femoral neck stress fractures, Sports Med., 9, 192-197, 1990.
166. Kaltsas, D., Stress fractures of the femoral neck in young adults, J. Bone Jt. Surg., 63B, 33-37, 1981.
167. Johansson, C., Ekenman, I., Tornkvist, H., and Eriksson, E., Stress fractures of the femoral neck in athletes: the consequence of a delay in diagnosis, Am. J. Sports Med., 18, 524-528, 1990.
168. Burrows, H. J., Fatigue in fracture of the middle of the tibia in ballet dancers, J. Bone Jt. Surg., 38-B, 83-94, 1956.
169. Friedenberg, Z. B., Fatigue fractures of the tibia, Clin. Orthoped., 76, 111-115, 1971.
170. Brahms, M. A., Fumich, R. M., and Ippolita, V. D., Atypical stress fracture of tibia in a professional athlete, Am. J. Sports Med., 8, 131-132, 1980.
171. Green, N. E., Rogers, R. A., and Lipscomb, B., Nonunions of stress fractures of the tibia, Am. J. Sports Med., 13, 171-176, 1985.
172. Blank, S., Transverse tibial stress fractures. A special problem, Am. J. Sports Med., 15, 597-607, 1987.
173. Rettig, A. C., Shelbourne, K. D., McCarroll, J. R., Bisesi, M., and Watts, J., The natural history and treatment of delayed union and non-union stress fractures of the anterior cortex of the tibia, Am. J. Sports Med., 16, 250-255, 1988.
174. Orava, S., Karpakka, J., Hulkko, A., Vaananen, K., Takala, T., Kallinen, M., and Alen, M., Diagnosis and treatment of stress fractures located at the midtibial shaft in athletes, Int. J. Sports Med., 12, 419-422, 1991.
175. Khan, K. M., Brukner, P. D., Kearney, C., Fuller, P. J., Bradshaw, C. J., and Kiss, Z. S., Tarsal navicular stress fracture in athletes, Sports Med., 17, 65-76, 1994.
176. Torg, J. S., Pavlov, H., Cooley, L. H., Bryant, M. H., Arnoczky, S. P., Bergfeld, J., and Hunter, L. Y., Stress fractures of the tarsal navicular. A retrospective review of twenty-one cases, J. Bone Jt. Surg., 64-A, 700-712, 1982.
177. Orava, S., Karpakka, J., Hulkko, A., and Takala, T., Stress avulsion fracture of the tarsal navicular. An uncommon sports-related overuse injury, Am. J. Sports Med., 19, 392-395, 1991.
178. Fitch, K. D., Blackwell, J. B., and Gilmour, W. N., Operation for non-union of stress fracture of the tarsal navicular, J. Bone Jt. Surg., 71B, 105-110, 1989.
179. Ting, A., King, W., Yocum, L., Antonelli, D., Moynes, D., Kerlan, R., Jobe, F., Wong, L., and Bertolli, J., Stress fractures of the tarsal navicular in long-distance runners, Clin. Sports Med., 7, 89-101, 1988.
180. Hunter, L. Y., Stress fracture of the tarsal navicular: more frequent than we realize? Am. J. Sports Med., 9, 217-218, 1981.
181. Pavlov, H., Torg, J. S., and Freiberger, R. H., Tarsal navicular stress fractures: radiographic evaluation, Radiology, 148, 641-645, 1983.
182. Orava, S. and Hulkko, A., Delayed unions and nonunions of stress fractures in athletes, Am. J. Sports Med., 16, 378-382, 1988.
183. Gordon, T. G. and Solar, J., Tarsal navicular stress fractures, J. Am. Podiatr. Med. Assoc., 75, 363-366, 1985.
184. O'Connor, K., Quirk R., Fricker, P., and Maguire, K., Stress fracture of the tarsal navicular bone treated by bone grafting and internal fixation. Three cases studies and a literature review, Excel, 6, 16-22, 1990.
185. Maitland, G. D., Peripheral Manipulation, 3rd ed., Butterworths, London, 1986.
186. Micheli, L. J., Sohn, R. S., and Soloman, R., Stress fractures of the second metatarsal involving Lisfranc's joint in ballet dancers: a new overuse of the foot, J. Bone Jt. Surg., 67 A, 1372-1375, 1985.
187. Harrington, T., Crichton, K. J., and Anderson, I. F., Overuse ballet injury of the base of the second metatarsal, Am. J. Sports Med., 21, 591-598, 1993.
188. Hamilton, W. G., Foot and ankle injuries in dancers, Clin. Sports Med., 7, 143-73, 1988.
189. Jones, R., Fractures of the base of the 5th metatarsal bone by indirect violence, Ann. Surg., 34, 697-700, 1902.
190. Kavanaugh, J. H., The Jones fracture revisited, J. Bone Jt. Surg., 60-A, 776-782, 1978.
191. DeLee, J. C., Evans, J. P., and Julian, J., Stress fracture of the fifth metatarsal, Am. J. Sports Med., 11, 349-353, 1983.
192. Dameron, T. B., Fractures and anatomical variations of the proximal portion of the 5th metatarsal, J. Bone Jt. Surg., 57-A, 788-792, 1975.
193. Torg, J. S., Balduini, F. C., Zelko, R. R., Pavlov, H., Peff, T. C., and Das, M., Fractures of the base of the fifth metatarsal distal to the tuberosity. Classification and guidelines for non-surgical and surgical management, J. Bone Jt. Surg., 66A, 209-214, 1984.
194. Richli, W. R., Avulsion fractures of the 5th metatarsal, Am. J. Roentgenol., 143, 889-890, 1984.
195. Stewart, I. M., Jones' fractures: fracture of the base of the 5th metatarsal, Clin. Orthoped. Relat. Res., 16, 190-198, 1960.
196. Sammarco, G. J., Be alert for Jones fractures, Phys. Sports Med., 20, 101-109, 1992.
197. Van Hal, M. E., Keene, J. S., Lange, T. A., and Clancy, W. G. J., Stress fractures of the great toe sesamoids, Am. J. Sports Med., 10, 122-128, 1982.
198. Golding, C., The sesamoids of the hallux, J. Bone Jt. Surg., 42-B, 840-843, 1960.
199. Inge, G. A. L. and Ferguson, A. B., Surgery of the sesamoid bones of the great toe, Arch. Surg., 27, 466-489, 1933.
200. Mann, R., DuVries Surgery of the Foot, 4th ed., CV Mosby Co., St. Louis, 1978.
201. Davis, A. W. and Alexander, I. J., Problematic fractures and dislocations in the foot and ankle of athletes, Clin. Sports Med., 9, 163-81, 1990.
202. McBryde, A. M., Stress fractures in athletes, Am. J. Sports Med., 3, 212-218, 1975.