Abstract
Bone tissue has functions of body support, protection of internal organs, movement and storage of calcium ions. Thanks to the continuous remodeling activity, it responds to mechanical stimuli by adapting its shape and microarchitecture. Prolonged loading, as occurs in long-distance running, causes an increase in bone resorption, which is physiologically followed by a corresponding increase in bone matrix deposition. However, in the absence of adequate rest periods or in the presence of excessive loads, this balance between resorption and deposition can be altered, leading to a decrease in bone mineral density over time and the establishment of microscopic injuries that can create stress fractures.
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Change history
18 February 2022
This book was inadvertently published with a typo in the book title: the term “injures” has been corrected to “Injuries”
References
Warden SJ, Burr DB, Brukner PD. Stress fractures: pathophysiology, epidemiology, and risk factors. Curr Osteoporos Rep. 2006;4(3):103–9.
Dao D, Sodhi S, Tabasinejad R, Peterson D, Ayeni OR, Bhandari M, et al. Serum 25-Hydroxyvitamin D levels and stress fractures in military personnel: a systematic review and meta-analysis. Am J Sports Med. 2015;43(8):2064–72.
Burgi AA, Gorham ED, Garland CF, Mohr SB, Garland FC, Zeng K, et al. High serum 25-hydroxyvitamin D is associated with a low incidence of stress fractures. J Bone Miner Res Off J Am Soc Bone Miner Res. 2011 Oct;26(10):2371–7.
Myburgh KH, Hutchins J, Fataar AB, Hough SF, Noakes TD. Low bone density is an etiologic factor for stress fractures in athletes. Ann Intern Med. 1990;113(10):754–9.
Bennell KL, Malcolm SA, Thomas SA, Reid SJ, Brukner PD, Ebeling PR, et al. Risk factors for stress fractures in track and field athletes. A twelve-month prospective study. Am J Sports Med. 1996;24(6):810–8.
Beck BR, Rudolph K, Matheson GO, Bergman AG, Norling TL. Risk factors for tibial stress injuries: a case-control study. Clin J Sport Med Off J Can Acad Sport Med. 2015;25(3):230–6.
Popp KL, Frye AC, Stovitz SD, Hughes JM. Bone geometry and lower extremity bone stress injuries in male runners. J Sci Med Sport. 2020;23(2):145–50.
Lee JH. The effect of long-distance running on bone strength and bone biochemical markers. J Exerc Rehabil. 2019;15(1):26–30.
MacDougall JD, Webber CE, Martin J, Ormerod S, Chesley A, Younglai EV, et al. Relationship among running mileage, bone density, and serum testosterone in male runners. J Appl Physiol. 1992;73(3):1165–70.
Wilson ESJ, Katz FN. Stress fractures. An analysis of 250 consecutive cases. Radiology. 1969;92(3):481–6. passim
Pohl MB, Mullineaux DR, Milner CE, Hamill J, Davis IS. Biomechanical predictors of retrospective tibial stress fractures in runners. J Biomech. 2008;41(6):1160–5.
Miki T, Miki T, Nishiyama A. Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases. J Bone Joint Surg Am. 2014;96(2):e9.
de Clercq PFG, Bevernage BD, Leemrijse T. Stress fracture of the navicular bone. Acta Orthop Belg. 2008;74(6):725–34.
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Peretti, G.M., Domenicucci, M. (2022). Bone Structure and Function in the Distance Runner. In: Canata, G.L., D'Hooghe, P., Hunt, K.J., M. M. J. Kerkhoffs, G., Longo, U.G. (eds) Management of Track and Field Injuries. Springer, Cham. https://doi.org/10.1007/978-3-030-60216-1_6
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DOI: https://doi.org/10.1007/978-3-030-60216-1_6
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