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Classification and return-to-play considerations for stress fractures
Jason J Diehl1, Thomas M Best, Christopher C Kaeding
1Division of Sports Medicine, Department of Family Medicine, The Ohio State University Sports Medicine Center, Columbus, OH 43221, USA.
Clinics in Sports Medicine
|December 6, 2005
Summary
Stress fractures require individualized management based on injury site, severity, and athlete
Area of Science:
- Sports Medicine
- Orthopedics
- Biomechanics
Background:
- Stress fractures are prevalent injuries among endurance athletes.
- Effective management necessitates considering fracture location, severity, and athletic demands.
Purpose of the Study:
- To review the pathophysiology and diagnosis of stress fractures.
- To classify stress fractures and guide return-to-play decisions based on risk stratification.
Main Methods:
- Review of current literature on stress fracture diagnosis and classification.
- Analysis of risk factors influencing stress fracture healing and return-to-sport timelines.
Main Results:
- Fracture site (low vs. high risk) and grade (extent of microdamage) are critical for management.
- Classification systems aid in determining appropriate return-to-play protocols.
Conclusions:
- Individualized stress fracture management is crucial for athletes.
- Risk stratification based on fracture characteristics optimizes return-to-play decisions and prevents re-injury.
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