![]() Nevertheless, the incidence of stress fractures in elderly patients is an increasingly important issue due to the aging society and the growing interest of elderly people in physical activity, whether to remain fit or as part of therapeutic regimens. While almost all of these studies focused on patients in their late second to fourth decade of life, studies on stress fractures in elderly patients and their respective risk factors are rare. Numerous studies on young female athletes and military recruits have revealed that factors such as poor physical fitness, low BMD, eating disorders, a body mass index (BMI) less than 20 or disturbed menstrual function lead to an increased risk for stress fractures in young women. Furthermore, female gender has been identified as an important risk factor and thus sex-specific effects appear to play a role in the pathogenesis of stress fractures. The cause of stress fractures is often multifactorial and various modifiable and non-modifiable factors have been proposed to play a role: white race, high bone turnover, vitamin D insufficiency, nicotine and alcohol abuse, steroid use, low bone density, low adult weight, anorexia, or bisphosphonate therapy. ![]() Whereas in the past, diagnosis of stress fractures was performed by radiography or scintigraphy, today magnetic resonance imaging (MRI) is the diagnostic agent of choice due to its higher sensitivity and specificity. While fatigue stress fractures occur due to abnormal and/or repeated stress on normal bone and are regularly seen in athletes, insufficiency stress fractures are linked to normal stress on impaired bone structure and thus are often observed in postmenopausal osteoporotic women. ![]() Based on their aetiology, stress fractures can be subdivided into either fatigue- or insufficiency-related fractures. ![]() It is mostly found in adolescents but can effect anyone at any age, especially those who do sports where they must bend backwards a lot.Stress fractures have been reported to be a common problem in young and active people such as athletes and military recruits. I did some research on lower back stress fractures to find out more, and here is what I found: the medical term is spondylolysis and it's the most common overuse injury involving the lower back. "The only thing I can do right now is rest, not walking or sitting a lot, just lying down and hoping that the bone will heal as fast as possible." It will take the 24-year-old German about six weeks to recover from the injury. After the match against Agnieszka, I decided to have an MRI and a CT and the results showed a stress fracture in my lower back." I could only play for 30 to 45 minutes without pain. The last two weeks in Australia I've been having bigger problems. I've been struggling with it, but I've always believed it was going to be fine and so I pushed through the pain. "I've been having some back problems for the last three or four months. This was what she posted on her official website:Īndrea Petkovic has to withdraw from the Australian Open due to a stress fracture in her lower back. Now it seems she will not be able to play in Paris, Qatar and Dubai-and who knows how much longer. The friendly personable woman from Germany was diagnosed with a stress fracture in her lower back which kept her from playing in the Australian Open back in January. Andrea Petkovic Julian Finney/Getty Images ![]()
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