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Causes
By Mayo Clinic staffStress fractures are caused by the repetitive application of a greater amount of force than the bones of your feet and lower legs normally bear. This force causes an imbalance between the resorption and growth of bone, both of which go on all the time. Repetitive force promotes the turnover of bone cells, but you add new bone cells when you're at rest.
If your bones are subjected to unaccustomed force without enough time for recovery, you'll resorb bone cells faster than you can replace them. As a result, you develop "bone fatigue." Continued, repetitive force causes tiny cracks in fatigued bones. These cracks progress to become stress fractures.
- Choi L. Stress fractures. In: DeLee JC, et al. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-3143-7..10014-4--s0160&isbn=978-1-4160-3143-7&sid=1047023574&type=bookPage§ionEid=4-u1.0-B978-1-4160-3143-7..10014-4--s0160&uniqId=217064656-4#4-u1.0-B978-1-4160-3143-7..10014-4--s0160. Accessed Sept. 1, 2010.
- Stress fractures. American Orthopaedic Foot and Ankle Society. http://www.aofas.org/Scripts/4Disapi.dll/4DCGI/cms/review.html?Action=CMS_Document&DocID=54. Accessed Sept. 1, 2010.
- deWeber K. Overview of stress fractures. http://www.uptodate.com/home/index.html. Accessed Sept. 1, 2010.
- Dugan S. Stress fractures. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/217064656-5/1047023574/1678/73.html#4-u1.0-B978-1-4160-4007-1..50072-9_1152. Accessed Sept. 1, 2010.
- Glossary of orthopaedic diagnostic tests. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00272. Accessed Sept. 1, 2010.
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