Do stress fractures have any treatment protocols?
You offer your own treatment preferences for high-risk fractures. Dr. Anderson: Stress fractures of the foot and ankle have a better prognosis when identified early. Many of these fractures go unrecognized on initial plain radiographs, so if they are suspect, additional imaging—MRI, bone scan—is recommended. If imaging studies are abnormal, computed tomography (CT) will help guide treatment. Stress fractures of the fifth metatarsal, navicular, and medial malleolus are typically managed with surgical fixation. CT imaging can again be utilized at 12 to 14 weeks. AAOS Now: What preventive measures can athletes take to reduce injuries? Dr. Anderson: Intrinsic protection can be gained from proper conditioning and strengthening. Athletes will also benefit from stretching before activity. In general, shoes should provide adequate support and stability for any given sport. Athletes seek lighter weight and more flexible footwear, but in doing so may place themselves at greater risk for injury.
