Gómez GS, Gómez TMC, Chaustre RDM, Cárdenas LFP

Language: Spanish
References: 21
Page: 89-95
PDF size: 280.27 Kb.

ABSTRACT

Pain in the lower limbs induced by exercise is common in military cadets due to long periods of jogging as part of his training and is related to overtraining. Stress fractures of tíbia are common among the disorders affecting them but most often are not diagnosed. The period of convalescence is prolonged sometimes leading to abandon their atividades. A case of an affected cadet to which treated by extracorporeal shockwave therapy showing reduced pain at rest and increased time trotting achieved without painful. Because of the importance that medical staff primarily Orthopaedic Surgeons and Sports Physicians and other health professionals involved in the care know about the existence of pathology as this new therapeutic alternative is that the case is presented.

REFERENCES

1. Legros P, Orsetti A, Bedu M, Brun JF, Brue F, Desmarais Y, et al. Le surentraiment: diagnostic des manifestations psychocomportementales précoces. Science et Sports. 1993 ; 8: 71-4.

2. Meyer SA, Saltzman CL, Albright JP. Stress fractures in the foot and leg. Clin Sports Med. 1993 ; 12 (2): 395-413.

3. Sterling JC, Edelstein DW, Calvo RD. Stress fractures in the athlete: diagnosis and management. Sports Med. 1992 ; 14: 336-46.

4. Maitra RS, Johnson DL. Stress fractures: clinical history and physical examination. Clin Sports Med. 1997 ; 16 (2): 259-74.

5. Mandelbaum BR, Knapp TP. Stress fractures. Clin Sports Med. 1997 ; 16: 2.

6. Belkin SC. Stress Fractures in Athletes. Orthop Clin North Am. 1980 ; 11: 735-41.

7. Gilbert RS, Johnson HA. Stress fractures in military recruits: A review 12 years experience. Military Medicine. 1996 ; 131: 716-21.

8. Nattiv A, Armsey TD. Stress injury to bone in the female athlete. Clin Sports Med. 1997 ; 16: 197-224.

9. Pope R. Prevention of Pelvic stress fractures in female Army Recruits. Military Medicine. 1999 ; 164 (5): 370-3.

10. Bennell KL, Brukner PD. Epidemiology and site specificity of stress fractures. Clin Sports Med. 1997 ; 16: 179-196.

11. Maitra RS, Johnson DL. Stress fractures: clinical history and physical examination. Clin Sports Med. 1997 ; 16: 259-74.

12. Benazzo F, Bernabei G, Ferrario A. Stress fractures in track and field athletes. J Sports Traumatol Rel Res. 1992 ; 14: 51-65.

13. Haupt G, Haupt A, Ekkernkamp A, Gerety B, Chvapil M. Influence of shock waves on fracture healing. Urology. 1992 ; 39 (6): 529-32.

14. Schaden W, Fischer A, Sailler A. Extracorporeal shock wave therapy of nonunion or delayed osseous union. Clin Orthop Relat Res. 2001 (387): 90-4.

15. Haist J. Osteorestoration via Shock wave therapy. A new possibility of treating disturbed bone union. In: Siebert W, Buch M. Extracorporeal Shock Waves in orthopedics. Berlin: Springer; 1998. p. 19-129.

16. Ciampa AR, de Prati AC, Amelio E, Cavalieri E, Persichini T, Colasanti M, et al. Nitric oxide mediates anti-inflammatory action of extracorporeal shock waves. FEBS Lett. 2005 ; 579 (30): 6839-45.

17. Chang PS, Harris RM. Intramedullary nailing for chronic tibial stress fractures.A review of five cases. Am J Sports Med. 1996 ; 24: 688-92.

18. De Lee JC, Evans JP, Julian J. Stress fracture of the fifth metatarsal. Am J Sports Med. 1983 ; 11: 349-53.

19. Herrera JM, Leal C, Murillo M, Duran R, López JC, Reyes OE. Tratamiento de las fracturas por estrés de la tibia en deportistas de alto rendimiento mediante litotripcia extracorpórea con ondas de choque. Rev Col de Or Tra. 2005 ; 19 (1): 73-80.

20. Moretti B, Notarnicola A, Garofalo R, Moretti L, Patella S, Marlinghaus E, Patella V. Shock waves in the treatment of stress fractures. Ultrasound Med Biol. 2009 ; 35 (6): 1042-9.

21. Taki M, Iwata O, Shiono M, Kimura M, Takagishi K. Extracorporeal shock wave therapy for resistant stress fracture in athletes. A report of five cases. Am J Sports Med. 2007 ; 35 (7): 1188-92.