Stress fractures—a prospective study amongst recruits

MJAFI MJAFI 2012;68:118–122 01/2012;

Stress fracture (SF) is the single most common cause for the lost number
of manpower days during training of recruits in the Armed Forces. This
prospective study was undertaken with a view to develop baseline data
on incidence of SF and to identify related variables.
A prospective study over a period of five years during 2004–2009 in
which a total of 8,570 recruits were enrolled at the start of their training
to find out the incidence and pattern of SFs.
A total of 604 (7.04%, 95% CI 6.40–7.40%) out of a total of 8,570
recruits sustained SF during the study period. The majority of fractures
occurred during basic training. The factors like urban residence, vegetarianism
and those without prior history of physical activity were found to
be associated with SF. Tibia was the commonest bone involved.
Prevention is undoubtedly the best approach in SF and other sports injuries.
Priority should be given to individuals with good sports and physical
activity background during recruitment. Intensity of training should be
gradually increased during first three months (12 weeks) of training.

1 Follower
23 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Standard treatment of Stress fracture includes rest, compression, elevation and passive stretching. Low level laser therapy (LLLT) has been described in treatment of joint conditions, tendophaties, musculofascial pains and dermatological conditions. A prospective randomized control study was carried out to assess efficacy of LLLT in treatment of stress fractures in tibia. Method: 68 cases were enrolled. 34 each in control and test group. Control cases were treated with placebo and test group with laser-therapy. Complete resolution of pain and tenderness, and return to painless ambulation was taken as end point of therapy in both groups. Result: The test group showed earlier resolution of symptoms and painless ambulation with fewer recurrence. Conclusion: LLLT appears beneficial in treatment of stress fracture in this preliminary study. A larger multicentric study is indicated to prove the benefit conclusively
    Medical Journal Armed Forces India 06/2006; 62(2):27-29. DOI:10.1016/S0377-1237(06)80148-6
  • [Show abstract] [Hide abstract]
    ABSTRACT: Women entering the Army are exposed to considerable physical stress due to the intense physical training program encoun tered. At the beginning of a basic training cycle, a prospective study was initiated to identify exercise-related injuries and performance-limiting conditions that resulted from an 8-week physical training program and to identify some of the factors that may contribute to their occurrence. Four hundred women recruits (age 18 to 29 years) participated in the study. All had passed an initial physical examination and were without any limiting disabilities. An initial assessment of physical fitness was accomplished to determine the current status of body composition, strength of the major muscle groups (e.g., legs, trunk, arms, and upper torso), aerobic capacity, previous ath letic history, self-perception of physical fitness, and psychoso matic predisposition. The training and conditioning program (1 hr daily, five to six times a week) involved a series of standard warm-up calisthenics and stretching exercises fol lowed by a run, beginning at 3/4 mile at a 10 min per mile pace and increasing to 2 miles at 9½ min per mile by the end of training. Extensive road marches and military training activities were also included. At the end of training, a self-report injury questionnaire was used to collect injury data. These data were documented with the records from the unit dispensary and data provided by the installation physical therapy, orthopaedic, and podiatry clinics. Fifty-four percent (215) of the women sustained some reportable injury. These injuries resulted in an average training time loss of 13 days. Forty-one percent of these injuries prevented participation in all activity, 31% resulted in only limited participation. Early training "overuse syndrome" ac counted for 42% (92) of the reported injuries. Significant injuries were: tibial stress fracture (45), chondromalacia of the patella (21), hip or neck of femur stress fracture (20), sprains (12), Achilles tendinitis (10), calcaneous or metatarsal stress fracture (8), and fascial and anterior compartment strains (6). The injury data were correlated with prior-fitness measures. The results indicated that a major cause of injury in women can be attributed to the lack of prior conditioning, greater body weight and fat percent, and limited leg strength. These factors, coupled with some inherent physiologic characteristics of women (i.e., wide pelvis, less strength, and greater joint flexi bility), probably contributed to the increased risk of injury in these women. It is concluded that susceptibility to these poten tial orthopaedic and medical conditions can be identified before the beginning of training and minimized through proper reme dial activity before a strenuous physical training program is initiated.
    The American Journal of Sports Medicine 07/1980; 8(4):265-9. DOI:10.1177/036354658000800410 · 4.36 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: As the running community as well as the primary care medical community become more sophisticated in their knowledge of and treatment of repetitive stress injuries, only the more difficult problems will arrive at the orthopedist's office. As a result, injuries such as stress fracture will constitute a larger percentage of running and other repetitive stress injuries. The universal occurrence of stress fracture and its possible at-risk nature for serious injury if undertreated underscores the need to observe good treatment principles. With these principles in mind, the physician can usually treat stress fracture without major interruption of the recreational or competitive athlete's sport style.
    Clinics in Sports Medicine 11/1985; 4(4):737-52. DOI:10.3928/0147-7447-19820701-12 · 1.22 Impact Factor
Show more