Si tratta di rotture o crepe che possono interessare qualsiasi osso che compone il piede. Include le fratture delle due piccole ossa rotonde situate appena sotto l'alluce (ossa sesamoidi), le ossa del terzo medio del piede (ossa metatarsali), o le ossa della parte posteriore del piede, come l'osso calcaneare nel tallone.
È causata da traumi diretti, cadute, distorsioni o da un sovraccarico prolungato sull'osso. Il rischio di soffrirne aumenta con la pratica di sport d'impatto, con l'uso attrezzature sportive inadeguate o nel caso in cui si soffra di osteoporosi.
Si manifesta con dolore, gonfiore, ematoma e/o deformità del piede.
La diagnosi viene effettuata mediante esame obiettivo e test di imaging.
Il trattamento si basa sul controllo del dolore e sul garantire il recupero dell'osso utilizzando analgesici convenzionali ed evitando di caricare peso sul piede. I casi più gravi possono richiedere un intervento chirurgico.
Per prevenire le fratture, si consiglia di indossare calzature adeguate, seguire una dieta ricca di calcio e vitamina D ed evitare il più possibile i traumi.
- Warden SJ, Burr DB, Brukner PD. Stress fractures: pathophysiology, epidemiology, and risk factors. Curr Osteoporos Rep 2006; 4:103.
- Miller T, Kaeding CC, Flanigan D. The classification systems of stress fractures: a systematic review. Phys Sportsmed 2011; 39:93.
- Waterman BR, Gun B, Bader JO, et al. Epidemiology of Lower Extremity Stress Fractures in the United States Military. Mil Med 2016; 181:1308.
- Rizzone KH, Ackerman KE, Roos KG, et al. The Epidemiology of Stress Fractures in Collegiate Student-Athletes, 2004-2005 Through 2013-2014 Academic Years. J Athl Train 2017; 52:966.
- Changstrom BG, Brou L, Khodaee M, et al. Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med 2015; 43:26.
- Kelsey JL, Bachrach LK, Procter-Gray E, et al. Risk factors for stress fracture among young female cross-country runners. Med Sci Sports Exerc 2007; 39:1457.
- Tenforde AS, Sayres LC, McCurdy ML, et al. Identifying sex-specific risk factors for stress fractures in adolescent runners. Med Sci Sports Exerc 2013; 45:1843.
- Wright AA, Taylor JB, Ford KR, et al. Risk factors associated with lower extremity stress fractures in runners: a systematic review with meta-analysis. Br J Sports Med 2015; 49:1517.
- Zhao L, Chang Q, Huang T, Huang C. Prospective cohort study of the risk factors for stress fractures in Chinese male infantry recruits. J Int Med Res 2016; 44:787.
- Barrack MT, Gibbs JC, De Souza MJ, et al. Higher incidence of bone stress injuries with increasing female athlete triad-related risk factors: a prospective multisite study of exercising girls and women. Am J Sports Med 2014; 42:949.
- Krauss MR, Garvin NU, Boivin MR, Cowan DN. Excess Stress Fractures, Musculoskeletal Injuries, and Health Care Utilization Among Unfit and Overweight Female Army Trainees. Am J Sports Med 2017; 45:311.
- Rauh MJ, Macera CA, Trone DW, et al. Epidemiology of stress fracture and lower-extremity overuse injury in female recruits. Med Sci Sports Exerc 2006; 38:1571.
- Mattila VM, Niva M, Kiuru M, Pihlajamäki H. Risk factors for bone stress injuries: a follow-up study of 102,515 person-years. Med Sci Sports Exerc 2007; 39:1061.
- Vinther A, Kanstrup IL, Christiansen E, et al. Exercise-induced rib stress fractures: potential risk factors related to thoracic muscle co-contraction and movement pattern. Scand J Med Sci Sports 2006; 16:188.
- Yagi S, Muneta T, Sekiya I. Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners. Knee Surg Sports Traumatol Arthrosc 2013; 21:556.
- Pihlajamäki H, Parviainen M, Kyröläinen H, et al. Regular physical exercise before entering military service may protect young adult men from fatigue fractures. BMC Musculoskelet Disord 2019; 20:126.
- Tenforde AS, Sayres LC, Sainani KL, Fredericson M. Evaluating the relationship of calcium and vitamin D in the prevention of stress fracture injuries in the young athlete: a review of the literature. PM R 2010; 2:945.
- Dao D, Sodhi S, Tabasinejad R, et al. Serum 25-Hydroxyvitamin D Levels and Stress Fractures in Military Personnel: A Systematic Review and Meta-analysis. Am J Sports Med 2015; 43:2064.
- Burgi AA, Gorham ED, Garland CF, et al. High serum 25-hydroxyvitamin D is associated with a low incidence of stress fractures. J Bone Miner Res 2011; 26:2371.
- McClellan JW 3rd, Vernon BA, White MA, et al. Should 25-hydroxyvitamin D and bone density using DXA be tested in adolescents with lumbar stress fractures of the pars interarticularis? J Spinal Disord Tech 2012; 25:426.

