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Current Osteoporosis Reports

Published in:

01-06-2021 | Biomechanics (JS Nyman and C Hernandez, Section Editors)

Biomechanical Basis of Predicting and Preventing Lower Limb Stress Fractures During Arduous Training

Authors: Thomas J. O’Leary, Hannah M. Rice, Julie P. Greeves

Published in: Current Osteoporosis Reports | Issue 3/2021

Abstract

Purpose of Review

Stress fractures at weight-bearing sites, particularly the tibia, are common in military recruits and athletes. This review presents recent findings from human imaging and biomechanics studies aimed at predicting and preventing stress fractures.

Recent Findings

Peripheral quantitative computed tomography (pQCT) provides evidence that cortical bone geometry (tibial width and area) is associated with tibial stress fracture risk during weight-bearing exercise. The contribution of bone trabecular microarchitecture, cortical porosity, and bone material properties in the pathophysiology of stress fractures is less clear, but high-resolution pQCT and new techniques such as impact microindentation may improve our understanding of the role of microarchitecture and material properties in stress fracture prediction. Military studies demonstrate osteogenic outcomes from high impact, repetitive tibial loading during training. Kinetic and kinematic characteristics may influence stress fracture risk, but there is no evidence that interventions to modify biomechanics can reduce the incidence of stress fracture.

Summary

Strategies to promote adaptive bone formation, in combination with improved techniques to assess bone strength, present exciting opportunities for future research to prevent stress fractures.

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Title: Biomechanical Basis of Predicting and Preventing Lower Limb Stress Fractures During Arduous Training
Authors: Thomas J. O’Leary
Hannah M. Rice
Julie P. Greeves
Publication date: 01-06-2021
Publisher: Springer US
Published in: Current Osteoporosis Reports / Issue 3/2021
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI: https://doi.org/10.1007/s11914-021-00671-1

2024 ASCO Annual Meeting

Springer Medicine

Biomechanical Basis of Predicting and Preventing Lower Limb Stress Fractures During Arduous Training

Abstract

Purpose of Review

Recent Findings

Summary

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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