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Rehabilitation Practice and Science

Translated Title

蹠骨應力性骨折：病例報告

Abstract

A stress fracture is defined as a partial or complete fracture of bone due to the inability to withstand non-violent stress applied in a rhythmic, repeated, subthreshold manner. It could occur in any kind of sport. However, it usually occurs in running-based sports and running or jogging. Initial diagnosis of stress fracture is difficult. A careful study of the patient's history amd physical examination combined with appropriate radiographic examination, or if indicated, scintigraphy, provides a highly accurate diagnosis.A 19-year-old male athlete suffered from insidious onset of pain in the right forefoot after judo training. This focal pain eventually precluded any sporting activity and began to affect daily activities such as standing or walking. Radiographic examination was normal. However, the patient had recently had lengthy and intense judo training. With a history and physical examination suggestive a stress fracture and a positive bone scan, we commenced physical therapy immediately, without waiting for radiographic confirmation. Radiographic image was followed up 3 weeks later, which showed a fracture at the medial aspect of the second metatarsal shaft. The patient was able to return to sporting activity 3 months later.

Language

Traditional Chinese

First Page

147

Last Page

153

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