August 7, 2013 Grand Rounds Video: Common Stress Fractures: Etiology, Diagnosis and Management
Daniel Patton, M.D., Orthopaedic Surgery Resident
Carol C. Teitz, M.D., Professor
Bruce C. Twaddle, M.D., Professor
Drs. Carol Teitz, Bruce Twaddle and Daniel Patton as they explore current research and treatment for stress fractures in sports medicine. Stress fractures generally present as a gradually worsening boney ache. They can occur in any athletic population and can be debilitating for months.
Prevention of stress fractures is achieved by a careful training schedule built around an understanding of normal bone physiology. Diagnosis is made by history, physical examination, and in persistent cases imaging which can include Xrays, bone scan, or MRI. The majority of cases are managed by rest and modification of training schedule to allow bone healing. Underlying medical risk factors must be addressed including nutrition (e.g. Vit. D), bone density, and mechanical limb alignment. The goals of surgery are to prevent a complete fracture, speed healing, and give the patient a return to activity.