Runners and Bone Stress Injuries: Difference between revisions

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== Introduction (what they are) ==
== Introduction (what they are) ==
The highest incidence of bone stress injuries (BSIs) occurs in competitive cross country runners and track-and-field athletes. <ref name=":0">Roche M, Fredericson M, Kraus E. Bone Stress Injuries. In: Harrast, M editor. Clinical Care of the Runner - Assessment, Biomechanical
Bone Stress Injures occur when the bone stresses applied during activity, like running, exceed the bone's tissue tolerance. They most commonly occur in competitive cross-country runners and track-and-field athletes. <ref name=":0">Roche M, Fredericson M, Kraus E. Bone Stress Injuries. In: Harrast, M editor. Clinical Care of the Runner - Assessment, Biomechanical


Principles, and Injury Management. Seattle: Elsevir, 2020. p141-151. </ref>   
Principles, and Injury Management. Seattle: Elsevir, 2020. p141-151. </ref>   


== Mechanism of Injury ==
== Mechanism of Injury ==
With an increase in external mechanical factors, there are adaptive changes in internal architecture. With the increased load, a stress reaction would occur with the presence of periosteal edema. A bone stress fracture would be indicated by a cortical fracture line on the MRI. <ref name=":0" />
Bones have a stronger compressive tolerance, and have a greater conservative recovery.
One mechanism indirectly related to running, but relating to athlete health, are gonadal hormone irregularities, which can  cause athletes to have cortical and trabecular BSIs and/or osteopenia or osteoporosis. This can also occur in athletes with nutritional imbalances, hormonal influences, and decreased bone mineral density. <ref name=":0" />     


== Diagnosis ==
== Diagnosis ==
BSIs can be detected from MRIs of periosteal edema as well as differing levels of bone marrow edema. More severe injuries may be indicated by a cortical fracture line on the MRI. <ref name=":0" />  
BSIs can be detected from MRIs of periosteal edema as well as differing levels of bone marrow edema. More severe injuries may be indicated by a cortical fracture line on the MRI. <ref name=":0" />
 


== Sub Heading 3 ==
Upon noticing these symptoms, early identification and management would lead to better prevention of further injury. <ref name=":0" /> 


== Resources  ==
== Resources  ==

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Introduction (what they are)[edit | edit source]

Bone Stress Injures occur when the bone stresses applied during activity, like running, exceed the bone's tissue tolerance. They most commonly occur in competitive cross-country runners and track-and-field athletes. [1]

Mechanism of Injury[edit | edit source]

With an increase in external mechanical factors, there are adaptive changes in internal architecture. With the increased load, a stress reaction would occur with the presence of periosteal edema. A bone stress fracture would be indicated by a cortical fracture line on the MRI. [1]

Bones have a stronger compressive tolerance, and have a greater conservative recovery.


One mechanism indirectly related to running, but relating to athlete health, are gonadal hormone irregularities, which can cause athletes to have cortical and trabecular BSIs and/or osteopenia or osteoporosis. This can also occur in athletes with nutritional imbalances, hormonal influences, and decreased bone mineral density. [1]

Diagnosis[edit | edit source]

BSIs can be detected from MRIs of periosteal edema as well as differing levels of bone marrow edema. More severe injuries may be indicated by a cortical fracture line on the MRI. [1]


Upon noticing these symptoms, early identification and management would lead to better prevention of further injury. [1]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 Roche M, Fredericson M, Kraus E. Bone Stress Injuries. In: Harrast, M editor. Clinical Care of the Runner - Assessment, Biomechanical Principles, and Injury Management. Seattle: Elsevir, 2020. p141-151.