Correlation of MRI grading of bone stress injuries with clinical risk factors and return to play: A 5-year prospective study in collegiate track and field athletes

American Journal of Sports Medicine

Volumn 41, Issue 8, 2013, Pages 1930-1941

  Nattiv, Aurelia ^a   Kennedy, Gannon ^b   Barrack, Michelle T ^a,c   Abdelkerim, Ashraf ^d,e   Goolsby, Marci A ^f   Arends, Julie C ^g,h   Seeger, Leanne L ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b NEW YORK MEDICAL COLLEGE   (United States)

^c CALIFORNIA STATE UNIVERSITY   (United States)

^d HARBOR UCLA MEDICAL CENTER   (United States)

^e Centinela Freeman Regional Medical Center   (United States)

^f HOSPITAL FOR SPECIAL SURGERY   (United States)

^g CALIFORNIA STATE UNIVERSITY   (United States)

^h WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

bone stress injury; female athlete triad; MRI grading; stress fracture

Indexed keywords

ADULT; ANALYSIS OF VARIANCE; ARTICLE; BONE; BONE STRESS INJURY; CLINICAL TRIAL; CONVALESCENCE; DECISION SUPPORT SYSTEM; FEMALE; FEMALE ATHLETE TRIAD; FOLLOW UP; HUMAN; INJURY; INJURY SCALE; MALE; MRI GRADING; NUCLEAR MAGNETIC RESONANCE IMAGING; PROGNOSIS; PROSPECTIVE STUDY; RISK FACTOR; SEX DIFFERENCE; STATISTICAL MODEL; STRESS FRACTURE; TIME; TRACK AND FIELD;

BONE STRESS INJURY; FEMALE ATHLETE TRIAD; MRI GRADING; STRESS FRACTURE;

ANALYSIS OF VARIANCE; BONE AND BONES; DECISION SUPPORT TECHNIQUES; FEMALE; FOLLOW-UP STUDIES; FRACTURES, STRESS; HUMANS; LINEAR MODELS; MAGNETIC RESONANCE IMAGING; MALE; PROGNOSIS; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; RISK FACTORS; SEX FACTORS; TIME FACTORS; TRACK AND FIELD; TRAUMA SEVERITY INDICES; YOUNG ADULT;

EID: 84881402927     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546513490645     Document Type: Article

References (56)

1. Almeida SA, Trone DW, Leone DM, Shaffer RA, Patheal SL, Long K. Gender differences in musculoskeletal injury rates: a function of symptom reporting?. Med Sci Sports Exerc. 1999 ; 31 (12). 1807-1812
2. Arendt E, Agel J, Heikes C, Griffiths H. Stress injuries to bone in college athletes: a retrospective review of experience at a single institution. Am J Sports Med. 2003 ; 31 (6). 959-968
3. Arendt EA. Stress fractures and the female athlete. Clin Orthop Relat Res. 2000 ; 372: 131-138
4. Arendt EA, Griffiths HJ. The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes. Clin Sports Med. 1997 ; 16 (2). 291-306
5. Barrack MT, Rauh MJ, Nichols JF. Cross-sectional evidence of suppressed bone mineral accrual among female adolescent runners. J Bone Miner Res. 2010 ; 25 (8). 1850-1857
6. Barrack MT, Van Loan MD, Rauh MJ, Nichols JF. Physiologic and behavioral indicators of energy deficiency in female adolescent runners with elevated bone turnover. Am J Clin Nutr. 2010 ; 92 (3). 652-659
7. Beck BR, Bergman AG, Miner M, et al. Tibial stress injury: relationship of radiographic, nuclear medicine bone scanning, MR imaging, and CT severity grades to clinical severity and time to healing. Radiology. 2012 ; 263 (3). 811-818
8. Bennell K, Matheson G, Meeuwisse W, Brukner P. Risk factors for stress fractures. Sports Med. 1999 ; 28 (2). 91-122
9. Bennell KL, Malcolm SA, Thomas SA, et al. Risk factors for stress fractures in track and field athletes: a twelve-month prospective study. Am J Sports Med. 1996 ; 24 (6). 810-818
10. Bergman AG, Fredericson M, Ho C, Matheson GO. Asymptomatic tibial stress reactions: MRI detection and clinical follow-up in distance runners. AJR Am J Roentgenol. 2004 ; 183 (3). 635-638
11. Boden BP, Osbahr DC. High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg. 2000 ; 8 (6). 344-353
12. Brukner P, Bradshaw C, Khan KM, White S, Crossley K. Stress fractures: a review of 180 cases. Clin J Sport Med. 1996 ; 6 (2). 85-89
13. Brunet ME, Cook SD, Brinker MR, Dickinson JA. A survey of running injuries in 1505 competitive and recreational runners. J Sports Med Phys Fitness. 1990 ; 30 (3). 307-315
14. Chisin R, Milgrom C, Giladi M, Stein M, Margulies J, Kashtan H. Clinical significance of nonfocal scintigraphic findings in suspected tibial stress fractures. Clin Orthop Relat Res. 1987 ; 220: 200-205
15. Choi K, Goldstein SA. A comparison of the fatigue behavior of human trabecular and cortical bone tissue. J Biomech. 1992 ; 25 (12). 1371-1381
16. Datir AP. Stress-related bone injuries with emphasis on MRI. Clin Radiol. 2007 ; 62 (9). 828-836
17. Deutsch AL, Coel MN, Mink JH. Imaging of stress injuries to bone: radiography, scintigraphy, and MR imaging. Clin Sports Med. 1997 ; 16 (2). 275-290
18. Fredericson M, Bergman AG, Hoffman KL, Dillingham MS. Tibial stress reaction in runners: correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med. 1995 ; 23 (4). 472-481
19. Fredericson M, Jennings F, Beaulieu C, Matheson GO. Stress fractures in athletes. Top Magn Reson Imaging. 2006 ; 17 (5). 309-325
20. Fudge BW, Westerterp KR, Kiplamai FK, et al. Evidence of negative energy balance using doubly labelled water in elite Kenyan endurance runners prior to competition. Br J Nutr. 2006 ; 95 (1). 59-66
21. Gaeta M, Minutoli F, Scribano E, et al. CT and MR imaging findings in athletes with early tibial stress injuries: comparison with bone scintigraphy findings and emphasis on cortical abnormalities. Radiology. 2005 ; 235 (2). 553-561
22. Goolsby MA, Barrack MT, Nattiv A. A displaced femoral neck stress fracture in an amenorrheic adolescent female runner. Sports Health. 2012 ; 4 (4). 352-356
23. Haddad FS, Bann S, Hill RA, Jones DH. Displaced stress fracture of the femoral neck in an active amenorrhoeic adolescent. Br J Sports Med. 1997 ; 31 (1). 70-72
24. Hamrick MW, Ding KH, Pennington C, et al. Age-related loss of muscle mass and bone strength in mice is associated with a decline in physical activity and serum leptin. Bone. 2006 ; 39 (4). 845-853
25. He YX, Zhang G, Pan XH, et al. Impaired bone healing pattern in mice with ovariectomy-induced osteoporosis: a drill-hole defect model. Bone. 2011 ; 48 (6). 1388-1400
26. Heaney RP, Abrams S, Dawson-Hughes G, et al. Peak bone mass. Osteoporosis Int. 2000 ; 11 (12). 985-1009
27. Hulkko A, Orava S. Stress fractures in athletes. Int J Sports Med. 1987 ; 8 (3). 221-226
28. Ihle R, Loucks AB. Dose-response relationships between energy availability and bone turnover in young exercising women. J Bone Miner Res. 2004 ; 19 (8). 1231-1240
29. Johnson AW, Weiss CB, Wheeler DL. Stress fractures of the femoral shaft in athletes: more common than expected. A new clinical test. Am J Sports Med. 1994 ; 22 (2). 248-256
30. Johnson LC, Stradford HT, Geis RW, Dineen JR, Kerley E. Histogenesis of stress fractures (abstract). J Bone Joint Surg Am. 1963 1542 ; 45 :
31. Jones BH, Harris JM, Vinh TN, Rubin C. Exercise-induced stress fractures and stress reactions of bone: epidemiology, etiology, and classification. Exerc Sport Sci Rev. 1989 ; 17: 379-422
32. Jones BH, Thacker SB, Gilchrist J, Kimsey CD, Sosin DM. Prevention of lower extremity stress fractures in athletes and soldiers: a systematic review. Epidemiol Rev. 2002 ; 24 (2). 228-247
33. Kelsey JL, Bachrach LK, Procter-Gray E, et al. Risk factors for stress fracture among young female cross-country runners. Med Sci Sports Exerc. 2007 ; 39 (9). 1457-1463
34. Kiuru MJ, Niva M, Reponen A, Pihlajamaki HK. Bone stress injuries in asymptomatic elite recruits: a clinical and magnetic resonance imaging study. Am J Sports Med. 2005 ; 33 (2). 272-276
35. Kiuru MJ, Pihlajamaki HK, Ahovuo JA. Bone stress injuries. Acta Radiol. 2004 ; 45 (3). 317-326
36. Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR. Physical activity and bone health: American College of Sports Medicine position stand. Med Sci Sports Exerc. 2004 ; 36 (11). 1985-1996
37. Lazzarini KM, Troiano RN, Smith RC. Can running cause the appearance of marrow edema on MR images of the foot and ankle?. Radiology. 1997 ; 202 (2). 540-542
38. Ludbrook C, Clark D. Energy expenditure and nutrient intake in long-distance runners. Nutr Res. 1992 ; 12 (6). 689-699
39. Marx RG, Saint-Phard D, Callahan LR, Chu J, Hannafin JA. Stress fracture sites related to underlying bone health in athletic females. Clin J Sport Med. 2001 ; 11 (2). 73-76
40. Matheson GO, Clement DB, McKenzie DC, Taunton JE, Lloyd-Smith DR, MacIntyre JG. Stress fractures in athletes: a study of 320 cases. Am J Sports Med. 1987 ; 15 (1). 46-58
41. Milgrom C, Giladi M, Stein M, et al. Stress fractures in military recruits: a prospective study showing an unusually high incidence. J Bone Joint Surg Br. 1985 ; 67 (5). 732-735
42. Nattiv A. Stress fractures and bone health in track and field athletes. J Sci Med Sport. 2000 ; 3 (3). 268-279
43. Nattiv A, Loucks AB, Manore MM, Sanborn CF, Sundgot-Borgen J, Warren MP. American College of Sports Medicine position stand: the female athlete triad. Med Sci Sports Exerc. 2007 ; 39 (10). 1867-1882
44. Okamoto S, Arai Y, Hara K, Tsuzihara T, Kubo T. A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: a case report. Sports Med Arthrosc Rehabil Ther Technol. 2010 ; 2: 6
45. Papalada A, Malliaropoulos N, Tsitas K, et al. Ultrasound as a primary evaluation tool of bone stress injuries in elite track and field athletes. Am J Sports Med. 2012 ; 40 (4). 915-919
46. Rauh MJ, Macera CA, Trone DW, Shaffer RA, Brodine SK. Epidemiology of stress fracture and lower-extremity overuse injury in female recruits. Med Sci Sports Exerc. 2006 ; 38 (9). 1571-1577
47. Roub LW, Gumerman LW, Hanley EN, Clark MW, Goodman M, Herbert DL. Bone stress: a radionuclide imaging perspective. Radiology. 1979 ; 132 (2). 431-438
48. Shuer ML, Dietrich MS. Psychological effects of chronic injury in elite athletes. West J Med. 1997 ; 166 (2). 104-109
49. Spitz DJ, Newberg AH. Imaging of stress fractures in the athlete. Radiol Clin North Am. 2002 ; 40 (2). 313-331
50. Sullivan D, Warren RF, Pavlov H, Kelman G. Stress fractures in 51 runners. Clin Orthop Relat Res. 1984 ; 187: 188-192
51. Williams NI, Helmreich DL, Parfitt DB, Caston-Balderrama A, Cameron JL. Evidence for a causal role of low energy availability in the induction of menstrual cycle disturbances during strenuous exercise training. J Clin Endocrinol Metab. 2001 ; 86 (11). 5184-5193
52. Wolf JH. [Julis Wolff and his law of bone remodeling]. Orthopade. 1995 ; 24 (5). 378-386
53. Yao L, Johnson C, Gentili A, Lee JK, Seeger LL. Stress injuries of bone: analysis of MR imaging staging criteria. Acad Radiol. 1998 ; 5 (1). 34-40
54. Zeni AI, Street CC, Dempsey RL, Staton M. Stress injury to the bone among women athletes. Phys Med Rehabil Clin N Am. 2000 ; 11 (4). 929-947
55. Zernicke R, McNitt-Gray J, Otis C, et al. Stress fracture risk assessment among elite collegiate women runners. International Society of Biomechanics XIV Congress. 1993 ; 1012: 1506-1507
56. Zwas ST, Elkanovitch R, Frank G. Interpretation and classification of bone scintigraphic findings in stress fractures. J Nucl Med. 1987 ; 28 (4). 452-457