UMEM Educational Pearls

Prior fracture represents the strongest predictor of stress fracture in both sexes

For girls:  Low body mass index, (<19), late menarche (age 15 or older), previous participation in gymnastics and dance.

For boys: increased number of seasons.

Participation in basketball appears protective in boys.

This may represent a modifiable risk factor for stress fractures.

 

References

Tenforde AS, Sayres, LC, et al. Identifying sex-specific risk factors for stress fractures in Adolescent Runners. 2013