Stručni rad
The rehabilitation protocol for low grade bone stress injury of the talus
Nural Albayrak Aydin
orcid.org/0000-0002-7884-6167
; Guven Hospital Physical Therapy and Rehabilitation Department, Guven Hospital, Ankara, Turkey
Kamil Yazicioglu
; Guven Hospital Physical Therapy and Rehabilitation Department, Guven Hospital, Ankara, Turkey
Sažetak
Bone stress injuries are common overuse injuries seen in active people. The pathogenesis is multifactorial and usually involves repetitive submaximal stresses. No comprehensive studies describing rehabilitation protocol of low grade bone stress injury of the talus have been published. The aim of this case series was to describe a conservative treatment protocol for low grade bone stress injury of the talus.The rehabilitation and pain features in 15 patients with low grade bone stress injury of the talus, as confirmed by magnetic resonance imaging (MRI), were reviewed retrospectively. Of 15 patients (8 female and 7 male; age range 16-50 years; median age 29.1 years; mean duration of symptoms 2.5 (range, 1 to 12) weeks, MRI studies showed low grade bone marrow edema of the talus in six cases, whereas in other nine cases (5/15 calcaneus, 3/15 navicular and 1/15 cuboideum) adjacent osseous structures were affected as well. In four cases, the entire talus was involved and in eleven cases, only a portion of the bone was affected. The mean visual analogue scale for pain before treatment was 53.5 mm. The median duration of walking boot usage was 16.2 (7 to 70) days. Patients became symptom free in a mean of 23.2 (12-40) days. Ten patients returned to daily life and sportive activities without difficulty. Early diagnosis and appropriate conservative treatment of low grade bone stress injury of the talus allow favorable outcome in most cases.
Ključne riječi
bone marrow; edema; stress fracture; talus; magnetic resonance imaging; rehabilitation
Hrčak ID:
79525
URI
Datum izdavanja:
1.3.2012.
Posjeta: 7.993 *