What is it about?

Stress fractures account for up to 20% of athletic injuries and may be recurrent in some of them. Extrinsic risk factors for stress fractures include type of the sport, running surface, footwear as well as volume of trainning. In addition, intrinsec risk factors such as menstrual disturbances and low energy intake may play a role on it.

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Why is it important?

Even hormonal and nutritional features are related to stress fractures, most of the athletes are not regularly evaluated by Endocrinologists. Furthermore, this issue is not discuss at endocrinology journals and a protocol of investigation and treatment is lacking. In this review, we propose a recommendation for prevention and management of stress fractures.

Perspectives

The idea of writting this review came up after seeing patients with recurrent stress fractures. In addition, the lack of protocol for minimal investigation of bone metabolism and for prevetion of a new fracture, increased my motivation on this issue.

Prof CAROLINA AGUIAR MOREIRA
Universidade Federal do Parana

Read the Original

This page is a summary of: Stress fractures: concepts and therapeutics, The Journal of Clinical Endocrinology & Metabolism, October 2016, Endocrine Society,
DOI: 10.1210/jc.2016-2720.
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