Steven F. Defroda, MD; Meng Kenneth L. Cameron, PhD, MPH, ATC;Matthew Posner, MD; Peter K. Kriz, MD; Brett D. Owens, MD. Bone Stress Injuries in the Military: Diagnosis, Management, and Prevention. Am J Orthop. 2017 July;46(4):176-183

“TAKE-HOME POINTS

  • Stress injuries, specifically of the lower extremity, are very common in new military trainees.
  • Stress injury can range from benign periosteal reaction to displaced fracture.
  • Stress injury should be treated on a case-by-case basis, depending on the severity of injury, the location of the injury, and the likelihood of healing with nonoperative management.
  • Modifiable risk factors such as nutritional status, training regiment, and even footwear should be investigated to determine potential causes of injury.
  • Prevention is a crucial part of the treatment of these injuries, and early intervention such as careful pre-enrollment physicals and vitamin supplementation can be essential in lowering injury rates.”