The Epidemiology of Stress Fractures in Collegiate Student-Athletes, 2004–2005 Through 2013–2014 Academic Years

Rizzone, Katherine; Ackerman, Kathryn E.; Roos, Karen G.; Dompier, Thomas P.; Kerr, Zachary Y.

doi:10.4085/1062-6050-52.8.01

Cited by 154 publications

(138 citation statements)

References 38 publications

(53 reference statements)

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“…Due to the nature of the study, that uses a self-reported questionnaire for data collection, the exact anatomical location of the overuse injuries cannot be indicated. However, our finding that about 60% of the SF was localized at the lower limbs is consistent with data from other authors, who pointed out me ta tarsals and tibia as most commonly affected by stress fractures bones (Chen et al, 2013;Rizzone et al, 2017;Sharma & Heagerty, 2017).…”

Section: Discussionsupporting

confidence: 93%

Risk Factors for Stress Fractures Among Female Athletes From Different Sports

Dimitrova¹,

Miloshova²,

Mladenov³

2019

Proceeding Book

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Stress fractures (SF) may affect all people who participate in sporting activities, but most commonly, they occur in athletes. Female athletes seem to experience more stress fractures than their male counterparts. There is limited research assessing the stress fractures among Bulgarian athletes. The aim of this study was to describe the incidence of SF among female athletic population and to analyze the selected risk factors. Ninety-three female athletes from different sports aged 19.2±3.8 years were recruited for this cross-sectional retrospective study. They completed a questionnaire to provide information on demographic data, sport experience, history of SF, menstrual function, and lifestyle risk factors. They also completed Eating attitude test (EAT-26) and questions aimed at identifying the presence of extreme weight control behaviors. The athletes were divided into two groups depending on whether or not they had SF in the past. Crude odds ratios (OR) were calculated to assess the association of SF with the studied factors. A total of 21 (22.6%) of the athletes reported at least one previous SF, with most injuries located in the lower extremity. The training factors and disordered eating traditionally believed to increase the risk for SF did not contributed to the development of SF in our study. Among all studied factors only the primary amenorrhea was significantly associated with an increased risk of SF (OR 6.56, 95% CI:1.4-30.6). These results suggest that in female athletes with similar sport experience, anthropometric characteristics, prevalence of disordered eating psychopathology and behavioral and lifestyle factors, those with primary amenorrhea are more likely to have stress fractures.

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Section: Discussionsupporting

confidence: 93%

Risk Factors for Stress Fractures Among Female Athletes From Different Sports

Dimitrova¹,

Miloshova²,

Mladenov³

2019

Proceeding Book

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“…Incidence rate among swimmers is typically difficult to estimate due to various factors, such as the unusual occurrence of this type of injury, and the reported single case studies in the literature. From the literature, one study has provided very low incidence rate (ranging from 0.58 to 1.66) in collegiate student athletes who participate in swimming and diving (Rizzone et al, 2017). However, it is difficult to compare the incidence of stress fractures in different sports because of a lack of sound epidemiologic data.…”

Section: Discussionmentioning

confidence: 99%

Swimmers Are At Risk For Stress Fractures? A Systematic Review

Vasiliadis

Lampridis

Georgiannos

et al. 2018

IJKSS

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Background: Stress fractures occur most commonly in the weight-bearing bones of the lower extremities. Swimming, a non-weight-bearing activity, is a potential activity form which associated with stress fractures? Objective: This systematic review aims to provide an answer in the above question and also to identify the reported cases of stress fractures among swimmers. Method: A systematic and comprehensive search was conducted using PubMed and Research Gate databases before January 2017. The search process was completed using the keywords: “stress fracture”, “stress injury”, “fatigue fracture”, “swimming” and “swimmers”. Results: There have been only 10 studies describing stress fractures in swimmers. This rare type of injury is commonly diagnosed in the ribs of young competitive swimmers, irrespective of their preferred swimming stroke. The etiology is multifactorial and includes a combination of intrinsic and/or extrinsic factors. Conclusion: Although any sport activity can potential cause a stress fracture, competitive swimming seems to be relatively safe in this respect. Rib stress fractures appear as the most common stress fracture in competitive swimmers that clinicians should consider. A prompt diagnosis can shorten the time required for healing and decrease the risk of complication.

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“…One point that we also make is that larger, prospective longitudinal or retrospective studies can provide more value although more technically difficult and time consuming. We always hope that one day we can do meta-analysis of data similar to a study by Rizzone et al [6] where they analysed 11,778,145 athlete exposures and evaluated the incidence and recurrence of stress fractures in student athletes, which were reported in only 671 cases. This huge study spanned for 9 years and was able to evaluate the incidence of recurrence of stress fractures and is the ideal to be strived for in veterinary medicine.…”

Section: Dear Editormentioning

confidence: 99%