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Updated: Mar 15, 2026

Subject-specific Musculoskeletal Model for Studying Bone Strain During Dynamic Motion
Published on: April 11, 2018
Taking a holistic approach to managing difficult stress fractures
Timothy L Miller1,2, Thomas M Best3,4
1Orthopaedic Surgery and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Timothy.miller@osumc.edu.
Abstract:
Stress fractures and other bony stress injuries occur along a spectrum of severity which can impact treatment and prognosis. When treating these injuries, it should be borne in mind that no two stress fractures behave exactly alike. Given that they are not a consistent injury, standardized treatment protocols can be challenging to develop. Treatment should be individualized to the patient or athlete, the causative activity, the anatomical site, and the severity of the injury. A holistic approach to the treatment of the most difficult stress fractures should be taken by orthopedists and sports medicine specialists. This approach is necessary to obtain optimal outcomes, minimize loss of fitness and time away from sports participation, and decrease the risk of recurrence.
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