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Tibial Stress Fractures

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by

Melissa Radke

on 11 December 2013

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Transcript of Tibial Stress Fractures

Anatomy
The knee is the largest weight-bearing joint of the body. Three bones meet to form the knee joint: the femur (thighbone), tibia (shinbone), and patella (kneecap). Ligaments and tendons act like strong ropes to hold the bones together. They also work as restraints — allowing some types of knee movements, and not others
Tibial Stress Fractures
The combination of microscopic bone fissures over extended periods of time.

Tibia is the most prone to stress fractures because it is the strongest weight bearing bone of the body.

Causes
Sudden increase in intensity (more than ten percent per week.)

Repetitive running and/or jumping on uneven or unyielding surface.

Faulty foot mechanics-poor shock absorption.

Inadequate shoe support.

AMENORRHEA-Lack of menstrual cycle.
Prevention
Use appropriate increments for increasing training intensity- no more then 10 percent a week.
Instruct Athletes to wear shoes with firm arch support.
Run on shock-absorbing and surfaces such as wood or grass.
Tibial Stress Fractures
Facts
1 in 10 of all sports injuries is a stress fracture (bodybuilding.com).

More than 50% of all stress fractures occur in the lower leg (Tibia).

In 2012, Tiger Woods won the US Open with a numerous stress fractures (N.Y. Times).
First Aid
1. Rest the athlete from all activities that require use of the leg.
2. Monitor and treat for shock as needed and send for EMS, if it occurs.
3. Send For EMS if following Present:
- Obvious deformity
- Symptoms and signs of compression to nerves
-Symptoms signs of disrupted blood supply.
Playing Status
Athlete cannot return to play or activity until cleared by physician.
-Shin must be pain free.
-Athlete has full ankle range of motion.
-Lower leg strength, and calf and Achilles tendon flexibility.
When returning to activity the athlete should wear shoes with firm arch support.
Tibial stress fractures is a chronic injury caused by compression
Injury Mechanism
ACTIVITY
Groups of two or three.
Come up with three strategies of how you think you could prevent a stress fracture.
References
Sport First Aid (Edition 4)

http://well.blogs.nytimes.com/2009/12/01/phys-ed-how-to-prevent-stress-fractures/?_r=0

http://www.scientificamerican.com/article.cfm?id=how-do-stress-fractures-develop

http://www.bodybuilding.com/fun/softball20.htm

www.youtube.com/tibialstressfractures
Full transcript