A Brief Review of Stress Fractures | Lemak Health
By Kristine Banks, M.D.
“The dreaded black line” refers to an anterior tibia shaft stress fracture which is the most commonly known of all stress fractures. Such injuries can plague athletes of all ages and levels of competition. Running and dancing are common mechanisms, as these fractures are due to overuse and repetitive stresses. While there is a recorded history of fractures in the military, the actual incidence in the general population is unknown.
Bone remodeling is an ongoing process. Normally, the cycle of bone catabolism and anabolism is balanced. The pathophysiology behind stress fractures follows from an imbalance in this cycle. The bone does not have time to repair the damage from repetitive stresses, thus resulting in the fracture.
The majority of stress fractures involve the lower extremity. Examples
Symptoms can include a localized area of pain and tenderness, and inability to bear weight on the extremity. For an accurate
The best form of treatment is prevention, which includes cross-training, appropriate equipment, and a healthy diet.