Stress fractures are small incomplete fractures that often occur at the metatarsals. They are caused by repeated weight carrying.

Stress fractures are not caused usually by a single injury (eg. As drop, stroke), but they occur after repeated stress and overuse that exceeds the ability of the muscles to balance the load. Stress fractures can affect the proximal femur, pelvis or lower extremities. About 50% of the lower leg and especially the metatarsal of the foot Knochenschäfte concern. Metarsale stress fractures (known Marschierfrakturen.) Usually occur on at:

Stress fractures are small incomplete fractures that often occur at the metatarsals. They are caused by repeated weight carrying. Stress fractures are not caused usually by a single injury (eg. As drop, stroke), but they occur after repeated stress and overuse that exceeds the ability of the muscles to balance the load. Stress fractures can affect the proximal femur, pelvis or lower extremities. About 50% of the lower leg and especially the metatarsal of the foot Knochenschäfte concern. Metarsale stress fractures (known Marschierfrakturen.) Usually occur on at: runners to quickly re-recruited the intensity of the workouts that time of training, or both change people with poor physical condition, which carry a load over long distances (eg. Soldiers). They usually occur in the second Metarsalen. Other risk factors include: hollow foot (one foot high arch) shoes with inadequate shock absorption osteoporosis Stress fractures can also be a sign of for sportsmen typical triad of amenorrhea, eating disorder and osteoporosis. Symptoms and complaints Vorfußschmerzen after long or intense exercise who quit immediately after training, are the typical first symptom of a stress fracture metarsalen. If training is continued, the pain set earlier and earlier, and can be so strong then that the training has to be canceled. Then the pain occurs even without weight load. Patients with pain in the groin area after heavy wear must be evaluated on a proximal stress fracture of the femur. In patients with these fractures a referral to a specialist is needed. Diagnostic X-ray or bone scan It is recommended that an x-ray, but can remain inconspicuous recording until the callus formation after 2-3 weeks after the injury. Often for early confirmation of the diagnosis, a technetium scan is necessary. In women with repeated stress fractures, osteoporosis can be based. Therefore, should an X-ray density measurement can be performed with them (Osteoporosis: Diagnosis). Treatment restriction of heavy lifting or carrying Treatment includes setting any weight load on the affected feet (in patients with metarsaler stress fracture) and the use of crutches. Although a cast is sometimes applied, a wooden shoe or other commercial supportive shoe or boot is preferable to prevent muscle wasting. The cure needs a period of 6 to 12 weeks.

Health Life Media Team

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