30 Haziran 2008 Pazartesi

STRESS FRACTURES

Stress fractures often not diagnosed and are a common problem for athletes. This article deals with common locations to stress fractures and how they can be prevented.

A stress fracture is a sort of incomplete fractures in the bone. You can view this as banda or a small crack in the bone, this is why it is sometimes called "fracture hair."

Stress fractures usually occur in weight, bones, such as the tibia / fibula (lower leg bone) and Metatarsalia (foot bone).

A stress fracture is a common sports injuries.

SYMPTOMS

Stress fractures usually have a limited list of symptoms. It could serve as a general field of pain, tenderness, pain and weight. Normally, if you have a stress fracture, pain at the beginning of the barrel, light pain in mid-term and severe pain at the end and after the flight.

Diagnosis

As with most diseases, stress fracture diagnosed is better for the interview and examination by a medical test. The surveys are not required to diagnose a stress fracture.

X-ray usually not show signs of stress fractures, so that a CT, MRI, or 3-phase bone scan can be effective in unclear circumstances. The histological examination of bone tissue is the most accurate test, but it can only be done in limbs amputated or during the autopsy of patients who died.

Treatment

If a stress fracture occurs in a weightbearing bone, healing is delayed or prevented from continuing to rely on the weight of the body.

Rest is the only way to completely heal a stress fracture. The average time to complete the rest from activities which caused the stress fracture is one week. A pause requires 4 to 8 weeks of rest, but that can not be more than ease of use of the wounded body part, until the activity does not cause pain. After the moment of relaxation are also 2 weeks mild activity can recommend without first bone pain can certainly be healed and activities can be gradually increased.

During this time, it is appropriate that training to identify errors (for example, too much, too soon) and must be avoided in future. A rule of thumb is not to an increase in the level of training for more than 10% from one week to another.

Rehabilitation usually consists of muscle strength training to help dissipate the excess forces in the bone.

In some cases, an electronic stimulator or bone stimulator may be used. These devices send electrical impulses bone to promote healing, recent studies have shown that the bone heals naturally electromagnetic stimulation. Electro Magnetic promote causes bones bones want to see more bone cells to strengthen bones.

Orthotics arts or merger with a plastic boat or airplane steps can be used also as a beneficiary to take some stress before the stress fracture. A jet of air has inflated cells, the slight pressure on the bone, promotes healing by increasing blood flow in the area and occupies most of the pain, because the pressure will be applied to them, the bones. If the stress fracture is quite difficult, crutches also help all the stress from the bone.

A severe stress fractures, surgery may be necessary for proper healing. The procedure may be pinning the fracture site and rehabilitation takes an average of six months.

CAUSE

Bones are constantly trying to restore and repair itself, especially during a sport where extraordinary burden on the bones. Over time, if sufficient to stress the bones have exhausted the ability of bone to restore a weakening of the site - stress fracture - with the bone. The fracture does not appear suddenly. What occurs from repeated violations, which are not enough to a sudden breakthrough, but which, if added overpower the osteoblasts, the transformation of bones.

Stress fractures occur in sedentary people who suddenly burst Movement (whose bones are not accustomed to the task). It can also occur in class Olympic athletes do extraordinary amounts of high-impact, or soldiers, march long distances.

Muscle fatigue can play an important role in the development of stress fractures. For every mile a runner is running more than 110 tons of force should be guided by the legs. The bones are not have that much energy in their muscles and as a shock to the excess power. But, as the muscles get tired and stop to absorb most of the shock, bones experience more stress. Finally, when the muscles (usually in the lower leg), so exhausted that they cease absorbed every blow, all the forces are due to the bone.

Prevention

One way to avoid stress fractures is adding more stress to the bones. Although counter-intuitive view of the fact that stress fractures too stress the bones, if moderate to stress the bones in a controlled manner, the bone is stronger and less susceptible to a stress fracture. An easy way to do this, follow a well-known rule for runners, which states that benefits must be increased by not more than 10% per week. This allows bones to adapt to more stress, so that they can withstand more stress in the future.

Strengthening exercises also help more muscle strength in the legs. Strengthening these muscles prevents that they are always sold out so quickly, which allows them to absorb the beating of course for longer periods. The main muscles must be reinforced with a leg stress fracture, the calf and shin muscles saver.

Second of a series of factors such as weight, tread and shoes shelf, runners should replace their shoes every 300-700 km adequate mid single sponge. A change in the choice of running surfaces can also help prevent stress fractures.

In furtherance of any exercise, in addition to stress the bones, it may be wise to increase calcium and vitamin D intake, depending on the individual. It 'also important to monitor eaten food, because food has a crucial role in bone development. Some people are at risk of osteoporosis, according to the country where medical care is provided, can be a screening programme in force.

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