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Choi, Chang-Hyuk;Baek, Seung-Hoon;Jang, Il-Woong
- Journal of Korean Orthopaedic Sports Medicine
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- v.9 no.1
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- pp.16-21
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- 2010
The prevalence of overuse syndrome in the lower extremity including chronic compartment syndrome and stress fracture is increasing with popularity of sports activities. Chronic compartment syndrome is defined as elevation of the interstitial pressure during exertional activities in a closed osseofascial compartment that results in microvascular compromise and operative procedures can be necessary if conservative treatments fail. Stress fracture can be classified as fatigue and insufficiency fracture; stress fracture occurs by repeated strain under abnormal conditions from the patient's activity whereas insufficiency fracture does by those from a process intrinsic to the bone. Most stress fractures occur in the lower extremity, most commonly in the tibial region. Fatigue fractures begin in athletes with the change in their training programs. The radiographic findings are usually diagnostic or at least strongly suggestive and MRI has proven to be a beneficial diagnostic tool for difficult diagnostic cases. Fatigue fractures are treated with a decrease in activity, but surgical procedure may be necessary in those in anterior cortex of the tibial diaphysis.
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Lee Dong Chul
- Journal of Korean Orthopaedic Sports Medicine
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- v.3 no.2
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- pp.111-117
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- 2004
Clinical conditions causing the lower leg injury and pain in athletes include acute injuries which are acute compartment syndrome, acute strain injury, contusion, muscle cramps, and chronic injuries which are chronic exertional compartment syndrome, achilles tendinitis, shin splints and stress fractures. Most injuries occur during running, jumping and playing soccer. Many of these conditions relate to overuse, increased strength, training errors and environment. It is necessary to know the cause of injuries and treatment methods to prevent the sports related lower leg injuries.
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