TOTBİD Dergisi

TOTBİD Dergisi

2018, Cilt 17, Sayı, 1     (Sayfalar: 088-097)

Stress fractures of the foot and ankle in athletes

Umut Yavuz 1, Namık Kemal Özkan 2

1 İstanbul Aydın Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul
2 Özel Maltepe Ersoy Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.14292/totbid.dergisi.2018.11
Görüntüleme: 607
İndirme : 2121

Stress fractures observed in foot and ankle are frequently seen in sportsmen, leading to disability that may keep them away from sports. A detailed clinical evaluation is necessary to suspect the presence of the stress fracture because its onset is mainly insidious. For early diagnosis, scintigraphy and magnetic resonance imaging (MRI) are preferred because radiographic studies are frequently positive in the late period of the stress fracture. Stress fractures in the foot and ankle are divided into two subgroups as low and high risk based on their cure potential, and necessity of the surgical intervention. Prevention of loading on the region of fracture and rest are main treatment options without any complication for the low-risk group. On the other hand, the possibility of complete fracture is higher in the high-risk group, and in comparison with the low-risk group, subjects in this group have a lower chance for improvement without surgery, and need to more time to get back to sports. Although the type of treatment including surgery versus non-surgery approaches or both depends on the location and the type of fracture, recent data emphasize that the other non-surgery options such as vitamin D, bone stimulants, calcitonin, bisphosphonates, and ESWT (extracorporeal shock wave therapy) are essential for improvement at the early period.

Anahtar Kelimeler : athlete; stress fracture; foot; ankle