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Year : 1987  |  Volume : 21  |  Issue : 2  |  Page : 162-166

Stress Fractures In Trained Soldiers

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B Das

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Stress fractures in young military recruits is a well known entity and has been widely studied. This study of stress fractures was in trained soldiers i.e. soldiers with minimum 2 years of vigorous physical conditioning and military training. It was conducted at Gwalior between 1982 and 1984 and total of 28 cases of stress fractures at different sites in various bones were encountered in a population of approximately 10,000 personnel (0.28 per cent). Cross country runs and athletics were responsible for maximum number of stress fractures (78.6%). Individuals running with thin sole shoes or ammunition boots were more susceptible. Incidence of various bones involved were tibia 71.42 per cent, fibula 14.26 per cent, metatarsals 7.16 per cent, navicular 3.58 per cent and capitate 3.58 per cent. Pain, local tenderness and bony thickening in an otherwise healthy, young individual undergoing strenuous, repetitive activity, without any history of direct or indirect trauma, forms a clinical triad in stress fracture. Earliest radiological finding in majority of cases was periosteal reaction. Biochemical investigations were normal.

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