Fracturas de tibia por estrés y hallazgos patológicos asociados en reclutas

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Hernán Eduardo Coria
Emanuel Fedún Rodríguez
Daniel García
Héctor Masaragian
Luciano Mizdraji
Fernando Perin
Leonel Rega
Daniel Sartorelli
Johann Veizaga Velasco

Resumen

Introduction: Tibial stress fractures are a very common condition in military recruits. Our objective is to demonstrate that stress fractures are associated with other diseases.
Materials and Methods: 42 stress fractures in 34 patients were retrospectively evaluated. Every patient had recently joined the Argentine Army and consulted for painful symptoms in the tibia. A clinical and scintigraphic diagnosis of stress fracture was made. Patient data, associated diseases, and risk factors were documented. Inclusion criteria: recent incorporation, same training, age between 16 and 23 years. Trauma, simulators, tumoral pathology, and cases with negative scintigraphy were excluded.
Results: We studied 42 stress fractures in 34 patients, 14 were men and 20 were women. The average age was 20 years. There were no significant differences in the number of injuries regarding the affected limb. 64.7% had associated diseases, 73% in women and 27 % in men. Among the women with stress fractures, 80% had associated diseases, compared to 43% for men. Different diseases were found with lower limb varus and valgus imbalances. Varus was the most associated with fractures.
Conclusions: A high rate of associated diseases was found in patients with tibial stress fractures with a predominance of lower limb varus imbalances. Associated diseases were more likely to be found in women with stress fractures than in men.

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Coria, H. E., Fedún Rodríguez, E., García, D., Masaragian, H., Mizdraji, L., Perin, F., Rega, L., Sartorelli, D., & Veizaga Velasco, J. (2024). Fracturas de tibia por estrés y hallazgos patológicos asociados en reclutas. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(2), 143-149. https://doi.org/10.15417/issn.1852-7434.2024.89.2.1868
Sección
Investigación Clínica
Biografía del autor/a

Hernán Eduardo Coria, Servicio de Cirugía de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina

Médico Especialista en OyT. Médico Especialista en pie Acreeditado por la SAMeCiPP. 2do Jefe de Servicio, Departamento de Pierna, Tobillo y Pie, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina

Emanuel Fedún Rodríguez, Servicio de Cirugía de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Cirugía de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina

Daniel García, Cirugiadelpie.net

Cirugiadelpie.net

Héctor Masaragian, cirugiadelpie.net

cirugiadelpie.net

Luciano Mizdraji, cirugiadelpie.net

cirugiadelpie.net

Fernando Perin, cirugiadelpie.net

cirugiadelpie.net

Leonel Rega, cirugiadelpie.net

cirugiadelpie.net

Daniel Sartorelli, Servicio de Cirugía de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. Cosme Argerich”, Ciudad Autónoma de Buenos Aires, Argentina

Jefe de Servicio, Cirugía de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital Militar Central “Cirujano Mayor Dr. CosmeArgerich”, Ciudad Autónoma de Buenos Aires, Argentina

Johann Veizaga Velasco, cirugiadelpie.net

cirugiadelpie.net

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