Muskuloskeletal Medicines
Bone stress injuries, commonly referred to as stress reactions or stress fractures, are caused by overuse and are prevalent conditions in athletes. These injuries are often seen in sports with high cumulative skeletal loading such as running, athletics, gymnastics, basketball, cricket, or soccer. Th...
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| Format: | Article |
| Language: | deu |
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SportMed Verlag
2023-04-01
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| Series: | Deutsche Zeitschrift für Sportmedizin |
| Online Access: | https://www.germanjournalsportsmedicine.com/archive/archive-2023/issue-2/bone-stress-injuries/ |
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| _version_ | 1849416783099854848 |
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| author | Hoenig T Tenforde AS Hirschmüller A 4 Cassel M Rolvien T Hollander K |
| author_facet | Hoenig T Tenforde AS Hirschmüller A 4 Cassel M Rolvien T Hollander K |
| author_sort | Hoenig T |
| collection | DOAJ |
| description | Bone stress injuries, commonly referred to as stress reactions or stress fractures, are caused by overuse and are prevalent conditions in athletes. These injuries are often seen in sports with high cumulative skeletal loading such as running, athletics, gymnastics, basketball, cricket, or soccer. The main injury pathophysiology is an imbalance between bone microdamage formation and its removal and replacement. A detailed medical history and clinical examination are important for diagnosis, with magnetic resonance imaging representing the gold standard for radiographic confirmation. Treatment and return-to-sport decisions should be individualized and based on injury location, severity, aspects of sports participation, and patient preferences. Initial management includes activity modification, protected weight-bearing, immobilization, optimizing nutrition (caloric intake, dietary calcium, and vitamin D supplementation), and in a few cases surgery. Following initial treatment, progressive loading and return-to-activity are initiated. Overall, a high rate of return-to-sports can be expected. Numerous risk factors that alter bone loading or bone health have been described and their identification is a crucial step towards prevention of future injury.Key Words: Stress Reaction, Stress Fracture, Bone Overuse |
| format | Article |
| id | doaj-art-5f3effa0716e4e4c820bd3d4156df5f8 |
| institution | Kabale University |
| issn | 0344-5925 2510-5264 |
| language | deu |
| publishDate | 2023-04-01 |
| publisher | SportMed Verlag |
| record_format | Article |
| series | Deutsche Zeitschrift für Sportmedizin |
| spelling | doaj-art-5f3effa0716e4e4c820bd3d4156df5f82025-08-20T03:33:03ZdeuSportMed VerlagDeutsche Zeitschrift für Sportmedizin0344-59252510-52642023-04-0174210.5960/dzsm.2023.555310680Muskuloskeletal MedicinesHoenig TTenforde ASHirschmüller A4Cassel MRolvien THollander KBone stress injuries, commonly referred to as stress reactions or stress fractures, are caused by overuse and are prevalent conditions in athletes. These injuries are often seen in sports with high cumulative skeletal loading such as running, athletics, gymnastics, basketball, cricket, or soccer. The main injury pathophysiology is an imbalance between bone microdamage formation and its removal and replacement. A detailed medical history and clinical examination are important for diagnosis, with magnetic resonance imaging representing the gold standard for radiographic confirmation. Treatment and return-to-sport decisions should be individualized and based on injury location, severity, aspects of sports participation, and patient preferences. Initial management includes activity modification, protected weight-bearing, immobilization, optimizing nutrition (caloric intake, dietary calcium, and vitamin D supplementation), and in a few cases surgery. Following initial treatment, progressive loading and return-to-activity are initiated. Overall, a high rate of return-to-sports can be expected. Numerous risk factors that alter bone loading or bone health have been described and their identification is a crucial step towards prevention of future injury.Key Words: Stress Reaction, Stress Fracture, Bone Overusehttps://www.germanjournalsportsmedicine.com/archive/archive-2023/issue-2/bone-stress-injuries/ |
| spellingShingle | Hoenig T Tenforde AS Hirschmüller A 4 Cassel M Rolvien T Hollander K Muskuloskeletal Medicines Deutsche Zeitschrift für Sportmedizin |
| title | Muskuloskeletal Medicines |
| title_full | Muskuloskeletal Medicines |
| title_fullStr | Muskuloskeletal Medicines |
| title_full_unstemmed | Muskuloskeletal Medicines |
| title_short | Muskuloskeletal Medicines |
| title_sort | muskuloskeletal medicines |
| url | https://www.germanjournalsportsmedicine.com/archive/archive-2023/issue-2/bone-stress-injuries/ |
| work_keys_str_mv | AT hoenigt muskuloskeletalmedicines AT tenfordeas muskuloskeletalmedicines AT hirschmullera muskuloskeletalmedicines AT 4 muskuloskeletalmedicines AT casselm muskuloskeletalmedicines AT rolvient muskuloskeletalmedicines AT hollanderk muskuloskeletalmedicines |