Stress Fracture

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“This book gives a nice summary of the current state of diagnosis, treatment, and prevention of bone stress injuries. It is particularly useful for sports medicine fellows and residents with an interest in athletes and active patients." ---Doody's Review Service, 3 stars Bone stress injuries are commonly seen in athletes and active individuals across a full spectrum of physical activity, age, and gender. While most overuse injuries can be addressed through non-operative care, injuries may progress to full fractures that require surgery if misdiagnosed or not correctly managed. Written by leaders in sports medicine including physical medicine and rehabilitation, orthopaedics, endocrinology and allied health professionals of biomechanics, physical therapy and dietetics, Bone Stress Injuries offers state-of-the-art guidelines and up-to-date science and terminology to practitioners. Using a holistic approach to understand the management of bone stress injuries, this book highlights specific considerations by injury, gender, and risk factor to ensure that a comprehensive treatment plan can be developed to optimize bone health, neuromuscular re-education, gait mechanics, and injury prevention. Organized into four parts, opening chapters cover the general need-to-know topics, including clinical history, imaging, and risk factors including biological and biomechanical factors. The book proceeds anatomically through the body from upper extremity to foot and ankle injuries, with each chapter underscoring diagnostic and treatment strategies specific to that region. Chapters dedicated to special populations discuss the differences in injury evaluation and management according to age, gender, and military background. Final chapters review the prevention of injuries and examine both common and novel treatment strategies, such as medications, nutrition, gait retraining, orthobiologics, and other interventions. Invaluable in its scope and approach, Bone Stress Injuries is the go-to resource for sports medicine physicians, physiatrists, and primary care providers who manage the care of athletes and individuals leading active lifestyles. Key Features: Promotes evidence-based practice for diagnosis, treatment, and prevention of bone stress injuries Covers specific anatomy that is prone to bone stress injuries with dedicated chapters on upper and lower extremities, pelvis and hip, spine, and foot and ankle Considers evaluation and management differences according to specific populations of pediatric, male, female, and military personnel Discusses emerging strategies to treat bone stress injuries, such as gait retraining, orthobiologics, and other non-pharmacological treatments

Stress fractures are fatigue failures of bone caused by unusual or repeated stress on bone and are among the more common sports injuries encountered. Often going unreported or occasionally unnoticed, athletes run the risk of a more serious fracture if untreated. Stress Fractures in Athletes focuses on the presentation, evaluation and treatment of these injuries. Divided into two sections, the first part provides in-depth description of the pathophysiology, epidemiology and biomechanics of stress fractures, as well as a discussion of classification, imaging and some general treatment concepts. The second part expands on treatment and takes each relevant anatomical region into consideration: lumbar spine, pelvis, femur, knee, tibia, upper and lower extremities, and the ribs and shoulder girdle. A chapter on insufficiency fractures, commonly associated with osteopenia and osteoporosis, is also included. As such, Stress Fractures in Athletes are a comprehensive resource for sports medicine practitioners, orthopedic surgeons, primary care physicians and physical therapists alike.

A Practical Approach to Fracture Mechanics provides a concise overview on the fundamental concepts of fracture mechanics, discussing linear elastic fracture mechanics, fracture toughness, ductile fracture, slow crack propagation, structural integrity, and more. The book outlines analytical and experimental methods for determining the fracture resistance of mechanical and structural components, also demonstrating the use of fracture mechanics in failure analysis, reinforcement of cracked structures, and remaining life estimation. The characteristics of crack propagation induced by fatigue, stress-corrosion, creep, and absorbed hydrogen are also discussed. The book concludes with a chapter on the structural integrity analysis of cracked components alongside a real integrity assessment. This book will be especially useful for students in mechanical, civil, industrial, metallurgical, aeronautical and chemical engineering, and for professional engineers looking for a refresher on core principles. Concisely outlines the underlying fundamentals of fracture mechanics, making physical concepts clear and simple and providing easily-understood applied examples Includes solved problems of the most common calculations, along with step-by-step procedures to perform widely-used methods in fracture mechanics Demonstrates how to determine stress intensity factors and fracture toughness, estimate crack growth rate, calculate failure load, and other methods and techniques

This textbook provides a practically applicable sport-centred guide to fracture management for athletes. It features extensive evidence-based guidance on how fracture management can be adapted in athletic patients, to facilitate an accelerated return to sport. Descriptions of a variety of both acute and stress fracture types are included, covering both the appendicular and axial skeleton, in locations such as the shoulder, knee, ankle and spine. Throughout the book, the focus is on enabling the reader to develop a deeper understanding of the ideal management principles that are available for managing fractures in high-functioning patients. Fractures in Sport comprehensively covers the available strategies for managing fractures in professional and amateur athletes, and is ideal for use by practising and trainee orthopaedic surgeons, sports physicians, and general practitioners.

A vast majority of failures emanate from stress concentrators such as geometrical discontinuities. The role of stress concentration was first highlighted by Inglis (1912) who gives a stress concentration factor for an elliptical defect, and later by Neuber (1936). With the progress in computing, it is now possible to compute the real stress distribution at a notch tip. This distribution is not simple, but looks like pseudo-singularity as in principle the power dependence with distance remains. This distribution is governed by the notch stress intensity factor which is the basis of Notch Fracture Mechanics. Notch Fracture Mechanics is associated with the volumetric method which postulates that fracture requires a physical volume. Since fatigue also needs a physical process volume, Notch Fracture Mechanics can easily be extended to fatigue emanating from a stress concentration.

The book is an on-the-spot reference for residents and medical students seeking diagnostic radiology fast facts. Its question-and-answer format makes it a perfect quick-reference for personal review and studying for board examinations and re-certification. Readers can read the text from cover to cover to gain a general foundation of knowledge that can be built upon through practice or can use choice chapters to review a specific subspecialty before starting a new rotation or joining a new service. With hundreds of high-yield questions and answer items, this resource addresses both general and subspecialty topics and provides accurate, on-the-spot answers. Sections are organized by subspecialty and body area, including chest, abdomen, and trauma, and chapters cover the anatomy, pathophysiology, differential diagnosis, hallmark signs, and image features of major diseases and conditions. Key example images and illustrations enhance the text throughout and provide an ideal, pocket-sized resource for residents and medical students.