Leg and Foot Stress Fractures: Difference between revisions
Holly Pulket (talk | contribs) No edit summary |
Holly Pulket (talk | contribs) No edit summary |
||
Line 45: | Line 45: | ||
During the physical examination, the patient will have tenderness to palpation, edema in surrounding soft tissues (Lassus) | During the physical examination, the patient will have tenderness to palpation, edema in surrounding soft tissues (Lassus) | ||
Hatch et al 2007 suggests doing a few routine measures during the physical examination when the medical profession suspects any sort of fractures. This includes: performing a neurologic screen for sensation, a vascular examination via capillary refill/pulses, inspecting the skin for deformity, edema, or ecchymosis, and disproportionate amounts of pain with movement. | Hatch et al 2007 suggests doing a few routine measures during the physical examination when the medical profession suspects any sort of fractures. This includes: performing a neurologic screen for sensation, a vascular examination via capillary refill/pulses, inspecting the skin for deformity, edema, or ecchymosis, and disproportionate amounts of pain with movement. | ||
Radiographs still are the first tool used for the diagnosis of stress fractures (Lassus).Stress fractures usually don't appear on xrays for two to six weeks (Hatch, Lassus).<br> | In regards to navicular stress fxs (which is one of the most common types of foot stress fxs), foot shape has been implicated in the past as a risk factor but evidence is inconsisent (Oddy et al 2009). Injuries appear to occur with pes planus, pes cavus, and normal feet. <br><br> | ||
Radiographs still are the first tool used for the diagnosis of stress fractures (Lassus). Stress fractures usually don't appear on xrays for two to six weeks (Hatch, Lassus) but when they are visible they will appear as a radiolucent line. <br> | |||
<br> | <br> |
Revision as of 18:55, 8 July 2011
Original Editors
Lead Editors - Holly Pulket, Corin Arundale, Brenda Walk, Brittany Buenteo, Melissa Osti
Search Strategy[edit | edit source]
6/10/11 -
add text here related to databases searched, keywords, and search timeline
s
Definition/Description[edit | edit source]
add text here
Epidemiology/Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
When evaluating an adult with a LE stress fracture a thorough history is important.
Key history findings of an individual with a stress fracture (Lassus):
- Pain with WB
- Recent increase in activity (i.e. high intensity and/or high frequency)
- Gradual onset
- Begins as pain with stress, eventually progressing to pain at rest and during the night
During the physical examination, the patient will have tenderness to palpation, edema in surrounding soft tissues (Lassus)
Hatch et al 2007 suggests doing a few routine measures during the physical examination when the medical profession suspects any sort of fractures. This includes: performing a neurologic screen for sensation, a vascular examination via capillary refill/pulses, inspecting the skin for deformity, edema, or ecchymosis, and disproportionate amounts of pain with movement.
In regards to navicular stress fxs (which is one of the most common types of foot stress fxs), foot shape has been implicated in the past as a risk factor but evidence is inconsisent (Oddy et al 2009). Injuries appear to occur with pes planus, pes cavus, and normal feet.
Radiographs still are the first tool used for the diagnosis of stress fractures (Lassus). Stress fractures usually don't appear on xrays for two to six weeks (Hatch, Lassus) but when they are visible they will appear as a radiolucent line.
Medical Management
[edit | edit source]
add text here
Physical Therapy Management
[edit | edit source]
add text here
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.