Clinics in sports medicine
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Stress fractures are a source of significant sports disability in the growing athlete. Early diagnosis and treatment are paramount in the management of these injuries to minimize the morbidity associated with them. In addition, the identification of potential host and/or environmental risk factors, and education of athletes, parents, coaches and physicians about these risk factors are key in the prevention of stress fractures and other overuse injuries in the pediatric athlete.
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Clinically, stress fractures appear to be a common overuse injury among athletes and in military recruits undertaking basic training; however, there is a lack of sound epidemiologic studies describing stress fracture occurrence in athletes. Few have directly compared stress fracture rates between sports to establish which poses the greatest risk for this injury. Furthermore, incidence rates, expressed in terms of exposure, have rarely been reported for stress fractures in athletes. ⋯ The most common site of stress fracture in athletes is the tibia, although the site reflects the nature of the load applied to the skeleton. Stress fracture morbidity, expressed as the time until return to sport or activity, varies depending on the site. Generally, a period of 6 to 8 weeks is needed for healing; however, stress fractures at certain sites, such as the navicular and anterior tibial cortex, are often associated with protracted recovery and, in some cases, termination of sporting pursuits.