Stress fractures in military recruits. A prospective study showing an unusually high incidence

Milgrom, Charles; Giladi, Michael; Stein, Michael D.; Kashtan, Hanoch; Margulies, Joseph Y.; Chisin, Roland; Steinberg, R.; Aharonson, Z

doi:10.1302/0301-620x.67b5.4055871

Cited by 298 publications

(162 citation statements)

References 0 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…A number of military studies have found maximum stress fracture rates during the first 3 weeks of military training, although there is some disagreement. [22][23][24][25][26][27] On the basis of these observations, many believed that a period of rest from vigorous weight-bearing activities during the early weeks of BMT will reduce stress fractures. 28 Jones 29 proposed an approach that would allow for periods of recovery through alternating days of running and marching, so that training effects would not be diminished and risk of injury would not increase.…”

Section: Introductionmentioning

confidence: 99%

Effect of rest from running on overuse injuries in Army basic training

Popovich

Gardner

Potter

et al. 2000

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Effect of rest from running on overuse injuries in Army basic training

Popovich

Gardner

Potter

et al. 2000

American Journal of Preventive Medicine

View full text Add to dashboard Cite

“…10 Stress fractures were first described in the medical literature as March Fractures by Briethaupt in 1855 who found them in the metatarsals of the Prussian Army recruits. 11 There are no data available on SF amongst Indian women but there is a need for research in this direction as well due to induction of women in the defence forces. There are very few prospective studies on SF available in the literature.…”

mentioning

confidence: 99%

Stress fractures—a prospective study amongst recruits

Dash¹,

Kushwaha

2012

Medical Journal Armed Forces India

View full text Add to dashboard Cite

BACKGROUNDStress fracture (SF) is the single most common cause for the lost number of manpower days during training of recruits in the Armed Forces. This prospective study was undertaken with a view to develop baseline data on incidence of SF and to identify related variables. METHODA prospective study over a period of five years during [2004][2005][2006][2007][2008][2009] in which a total of 8,570 recruits were enrolled at the start of their training to find out the incidence and pattern of SFs. RESULTSA total of 604 (7.04%, 95% CI 6.40-7.40%) out of a total of 8,570 recruits sustained SF during the study period. The majority of fractures occurred during basic training. The factors like urban residence, vegetarianism and those without prior history of physical activity were found to be associated with SF. Tibia was the commonest bone involved. CONCLUSIONPrevention is undoubtedly the best approach in SF and other sports injuries. Priority should be given to individuals with good sports and physical activity background during recruitment. Intensity of training should be gradually increased during first three months (12 weeks) of training.

show abstract

“…[10][11][12] These injuries are frustrating and debilitating, often incurring considerable time lost from exercising, rehearsal, or military training. 13,14 SFxs are characterized by incomplete fractures that develop as a result of repetitive loading on a bone rather than a single traumatic event. Some ''high risk'' SFx are prone to delayed healing or catastrophic propagation to complete fractures.…”

mentioning

confidence: 99%

Selective and non‐selective cyclooxygenase inhibitors delay stress fracture healing in the rat ulna

Kidd

Cowling

et al. 2012

Journal Orthopaedic Research

View full text Add to dashboard Cite

Anti-inflammatory drugs are widely used to manage pain associated with stress fractures (SFxs), but little is known about their effects on healing of those injuries. We hypothesized that selective and non-selective anti-inflammatory treatments would retard the healing of SFx in the rat ulna. SFxs were created by cyclic loading of the ulna in Wistar rats. Ulnae were harvested 2, 4 or 6 weeks following loading. Rats were treated with non-selective NSAID, ibuprofen (30 mg/kg/day); selective COX-2 inhibition, [5,5-dimethyl-3-3 (3 fluorophenyl)-4-(4 methylsulfonal) phenyl-2 (5H)-furanone] (DFU) (2.0 mg/kg/day); or the novel c5a anatagonist PMX53 (10 mg/kg/ day, 4 and 6 weeks only); with appropriate vehicle as control. Quantitative histomorphometric measurements of SFx healing were undertaken. Treatment with the selective COX-2 inhibitor, DFU, reduced the area of resorption along the fracture line at 2 weeks, without affecting bone formation at later stages. Treatment with the non-selective, NSAID, ibuprofen decreased both bone resorption and bone formation so that there was significantly reduced length and area of remodeling and lamellar bone formation within the remodeling unit at 6 weeks after fracture. The C5a receptor antagonist PMX53 had no effect on SFx healing at 4 or 6 weeks after loading, suggesting that PMX53 would not delay SFx healing. Both selective COX-2 inhibitors and non-selective NSAIDs have the potential to compromise SFx healing, and should be used with caution when SFx is diagnosed or suspected. ß

show abstract

Stress fractures in military recruits. A prospective study showing an unusually high incidence

Cited by 298 publications

References 0 publications

Effect of rest from running on overuse injuries in Army basic training

Effect of rest from running on overuse injuries in Army basic training

Stress fractures—a prospective study amongst recruits

Selective and non‐selective cyclooxygenase inhibitors delay stress fracture healing in the rat ulna

Contact Info

Product

Resources

About