
Stress Fractures. Kevin deWeber, MD, FAAFP, FACSM Director, Military Sports Medicine Fellowship USUHS/Ft. Belvoir 2011 (many slides courtesy Dave Haight , MD. Outline. Pathophysiology Risk Factors Associations Diagnosis General Treatment Treatment of High-Risk Cases.
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Kevin deWeber, MD, FAAFP, FACSM
Director, Military Sports Medicine Fellowship
USUHS/Ft. Belvoir
2011
(many slides courtesy Dave Haight, MD
Weight-
bearing
Tibial
stress
Fractures
(retrospective)
“High-Speed
Digital Imaging”
Study mSvrelative radiation
Plain film foot <0.01 < 1.5 days
Plain film CXR 0.02 2.4 days
Plain film pelvis 0.7 3.2 mo
Tech-99 bone scan 3 (150 CXR)1.2 yrs
CT L-spine 6 (300 CXR) 2.3 yrs
CT abd / pelvis 10 (500 CXR) 4.5 yrs
(tension side)
(tension side)
<300 miles
High risk for
delayed union , nonunion,
refracture
(tension side)
(tension side)
stress fracture
“Stork test”—not very sensitive
Iliopsoas bursa
tension side of neck