Stress Fractures in Sport (ICL 5)

  • Nikica DarabosEmail author
  • Mihai Vioreanu
  • Vladan Stevanovic
  • Oskar Zupanc
  • Umile Giusepe Longo


Stress fractures arise from the inability of bone to tolerate repeated mechanical loading and are characterized by damage to the bone’s micro-architecture. Repeated mechanical loading can cause an uncoupling of osteoblast bone formation and osteoclast bone resorption [1]. This can lead to bone loss and subsequent micro-damage that can result in localized bone weakening, resulting in stress fracture development. The etiology of stress fractures is multifactorial. The rate of occurrence depends on the bone composition, vascular supply, surrounding muscle attachments, systemic factors, and type of athletic activity. From a biomechanical standpoint, stress fractures may be the result of muscle fatigue, which leads to the transmission of excessive forces to the underlying bone. Muscles may also contribute to stress injuries by concentrating forces across a localized area of bone, thus causing mechanical insults that exceed the stress-bearing capacity of the bone (Table 5.1) [2, 3].


Femoral Neck Stress Fracture Avascular Necrosis Slip Capital Femoral Epiphysis Stress Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© ESSKA 2016

Authors and Affiliations

  • Nikica Darabos
    • 1
    Email author
  • Mihai Vioreanu
    • 2
  • Vladan Stevanovic
    • 3
    • 4
  • Oskar Zupanc
    • 5
  • Umile Giusepe Longo
    • 6
  1. 1.General, Orthopaedic and Traumatology Surgeon, Department of Sports TraumatologyClinic for Traumatology, Clinical Hospital Center Sisters of Charity Medical School, University of ZagrebZagrebCroatia
  2. 2.Consultant Orthopaedic SurgeonKnee and Hip Specialist, Sports Surgery ClinicSantry, Dublin 9Ireland
  3. 3.Orthopaedic Surgeon, Faculty of MedicineUniversity of BelgradeBelgradeSerbia
  4. 4.Institute for Orthopedic Surgery “Banjica”BelgradeSerbia
  5. 5.Orthopaedic Surgeon, Department of Orthopaedic SurgeryLjubljana University Medical CentreLjubljanaSlovenia
  6. 6.Department of Trauma and Orthopaedic SurgeryUniversity Campus Bio-Medico of RomeRomaItaly

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