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KMID : 0378019790220020036
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New Medical Journal
1979 Volume.22 No. 2 p.36 ~ p.42
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Fatigue Fractures of Lower Extremities in Marine Recruits
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Abstract
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Fatigue Fractures of Lower Extremities in Marine Recruits Ju Hai Chang, M.D. Department of Orthopedic Surgery, Navy Headquarter Base Hospital, Seoul, Korea Fatigue fracture is a partial or complete disruption in the bone continuity of presumably normal bone caused by repeated stresses rather than a specific trauma. It is believed that there may be a gradual alteration in bony architecture by repeate which are usually the result of unaccustomed vigorous physical activity. d stresses
In thirty-one marine recruits, thirty-two cases of fatigue fracture in the bone of loiv extremity were found. TwentY eight cases were in the tibial shafts, two in the metatarsal shafts, and.each one in the´fenoral neck and shaft.
Positive radiographic findings were seen at seventeenth day after the onset of sym tans in the earliest case. The most consistent radiographic finding of the fatigue fractures in the tibial, femoral and metatarsal shafts was periosteal or circumferential in the anteroposte orand lateral projections.
Author classified the fatigue fractures of the shafts by their radiographic appearance. Type Iwhere the periosteal~reaction was on one side of the shaft with or without incomplete fracture line. Type II -cohere the periosteal reaction was circumferential with or without fracture line. Type 111displaced fracture.
Treatment consisted of restriction of for three or four weeks in type Patient´s physical activity while allowing ambulation, I fatigue fracture and six or eight weeks in type II fatigue fracture.
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