1996
DOI: 10.1177/036354659602400217
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The Incidence and Distribution of Stress Fractures in Competitive Track and Field Athletes

Abstract: The incidence and distribution of stress fractures were evaluated prospectively over 12 months in 53 female and 58 male competitive track and field athletes (age range, 17 to 26 years). Twenty athletes sustained 26 stress fractures for an overall incidence rate of 21.1%. The incidence was 0.70 for the number of stress fractures per 1000 hours of training. No differences were observed between male and female rates (P > 0.05). Twenty-six stress fractures composed 20% of the 130 musculoskeletal injuries sustained… Show more

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Cited by 357 publications
(260 citation statements)
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“…This acute response may be of significance to athletic populations as the net effects of changes in bone resorption and formation have been implicated in both stress fractures [20] and changes in bone mineral density (BMD) [21]. Additionally, the acute response of bone markers to exercise has been reported with both running [19] and cycling [15], and reduced spinal BMD (running and cycling) and an increased incidence of stress fractures (running) have been observed in some groups who regularly perform both types of activity [22][23][24][25][26].…”
Section: 3mentioning
confidence: 99%
“…This acute response may be of significance to athletic populations as the net effects of changes in bone resorption and formation have been implicated in both stress fractures [20] and changes in bone mineral density (BMD) [21]. Additionally, the acute response of bone markers to exercise has been reported with both running [19] and cycling [15], and reduced spinal BMD (running and cycling) and an increased incidence of stress fractures (running) have been observed in some groups who regularly perform both types of activity [22][23][24][25][26].…”
Section: 3mentioning
confidence: 99%
“…1,2 We have recently reported a 2.7% estimated lifetime prevalence of this injury in female adolescents, 3 which compares favorably with estimates ranging from 1.0% to 2.6% among general collegiate athletes. 4,5 Although these overall rates seem low, certain subgroups, such as college freshmen 6 and other young adult women participating in track and field [7][8][9][10][11] may have rates of stress fracture between 6.9% 6 and 21.1%. 11 Stress fractures are particularly concerning in active female adolescents and young adults because they may signify insufficiency of the bones to withstand repetitive loading.…”
mentioning
confidence: 99%
“…4,5 Although these overall rates seem low, certain subgroups, such as college freshmen 6 and other young adult women participating in track and field [7][8][9][10][11] may have rates of stress fracture between 6.9% 6 and 21.1%. 11 Stress fractures are particularly concerning in active female adolescents and young adults because they may signify insufficiency of the bones to withstand repetitive loading. Although a "fracture threshold" is not yet defined for children and adolescents, ~80% to 90% of in vitro skeletal strength in adults is determined by bone mineral density (BMD).…”
mentioning
confidence: 99%
“…Tibial stress fractures are common overuse injuries among runners [1]. Tibial stress fractures can cause significant disruption to training, a reduction in physical fitness as well as increased psychological distress [2].…”
Section: Introductionmentioning
confidence: 99%