Leg and Foot Stress Fractures
Original Editors
Lead Editors - Holly Pulket, Corin Arundale, Brenda Walk, Brittany Buenteo, Melissa Osti
Search Strategy[edit | edit source]
6/10/11 -
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Definition/Description[edit | edit source]
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Epidemiology/Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Outcome Measures[edit | edit source]
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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.
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).
Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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