Stress Injuries to Bone in College Athletes
- 1 November 2003
- journal article
- research article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 31 (6), 959-968
- https://doi.org/10.1177/03635465030310063601
Abstract
Background: No comprehensive studies have been published on stress injuries to bone in college athletes. Purpose: To review, in a college athlete population, the epidemiologic aspects of stress injuries to bone, and to examine a subset of patients who were treated with a uniform protocol for return to activities, with magnetic resonance imaging as the primary tool for diagnosis. Study Type: Retrospective review. Methods: Ten years of medical records from a Division I college institution were reviewed. Location and grade of stress injury to bone and duration of disability were recorded. All injured athletes followed the same treatment program, with the exception of football players, who were excluded from the return to sport analyses. Results: Seventy-four athletes had lower extremity symptoms consistent with stress injury to bone. Diagnosis was confirmed in 68 of these athletes, 61 via magnetic resonance imaging, 6 via positive radiographs only, and 1 via bone scan only. Distance runners accounted for the most stress injuries to bone for both men and women. The tibia (37%) was the most frequently involved bone; however, as an anatomic region, the foot (44%) was the site of the most stress injuries. There was a significant correlation between grade of injury and time to full return to activity. Conclusions: The grading system used at this institution is a standardized tool that can be used to predict time to return to sport. A standardized rehabilitation protocol allowed for an appropriate plan to return the athletes to pain-free competition.Keywords
This publication has 30 references indexed in Scilit:
- STRESS FRACTURES IN WOMENClinics in Sports Medicine, 2000
- Managing Common Stress FracturesThe Physician and Sportsmedicine, 1998
- STRESS INJURY TO BONE IN THE FEMALE ATHLETEClinics in Sports Medicine, 1997
- Risk Factors for Stress Fractures in Female Track-and-Field AthletesClinical Journal of Sport Medicine, 1995
- Stress Fractures of the Femoral Shaft in Athletes—More Common Than ExpectedThe American Journal of Sports Medicine, 1994
- Clinical Significance of Nonfocal Scintigraphic Findings in Suspected Tibial Stress FracturesPublished by Wolters Kluwer Health ,1987
- Stress fracture of the proximal fibulaThe American Journal of Sports Medicine, 1980
- Stress fractures.British Journal of Sports Medicine, 1980
- Stress fractures in athletesThe Journal of Sports Medicine, 1975
- Injuries to runnersThe Journal of Sports Medicine, 1974