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Biologic Advancements in the Treatment of Stress Fractures

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Endurance Sports Medicine

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Abstract

Stress fractures are common injuries particularly in endurance athletes and military recruits as well as those who choose single sport specialization. With more athletes participating in year-round training and focusing on only one sport, overuse injuries have become a common ailment within the athletic community. These pathologies, especially stress injuries to the bone, can become particularly bothersome in the endurance athlete and those who undergo repetitive, high impact activity. Traditional conservative treatment options including prolonged rest from sport have become less acceptable to many athletes who wish to continue participation and maintain optimal athletic performance. Although activity modification and surgical fixation remain the gold standard for chronic and/or severe stress fractures, direct injectable orthobiologics modalities and indirect systemic stimulating treatments can be used as an adjunct to optimize an athlete’s internal healing environment. These newly emerging biologic technologies along with holistic treatment strategies are allowing for maintenance of an athlete’s conditioning even during their healing process with the ultimate goal of expediting an athlete’s safe and healthy return to play.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Elise Grzeskiewicz & Timothy L. Miller

  2. The Jameson Crane Sports Medicine Institute, Columbus, OH, USA

    Timothy L. Miller

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  1. Elise Grzeskiewicz
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  2. Timothy L. Miller
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Correspondence to Timothy L. Miller .

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  1. Department of Orthopedic Surgery, The Ohio State University Wexner Medical Center, New Albany, Columbus, OH, USA

    Timothy L. Miller

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Grzeskiewicz, E., Miller, T.L. (2023). Biologic Advancements in the Treatment of Stress Fractures. In: Miller, T.L. (eds) Endurance Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-26600-3_10

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  • DOI: https://doi.org/10.1007/978-3-031-26600-3_10

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