Seattle Marathon, 1530 Westlake Avenue North, Seattle, WA 98019, USA.
Clin Sports Med. 2010 Jul;29(3):399-416. doi: 10.1016/j.csm.2010.03.001.
Running has many beneficial effects, including cardiovascular and skeletal health. Poor training technique and a variety of risk factors may predispose runners to lower-limb overuse injuries affecting muscle, tendon, and bone. Injuries to the bone include stress reactions to full-fledged stress fractures. This article is designed to provide an understanding of the general concepts involving bone strain, risk factor assessment, and evaluation and treatment strategies for the runner with a stress fracture. The second half of the article presents more detail regarding each specific fracture seen in runners. The ultimate goal of this article is to provide the basics regarding stress fractures in runners from pathophysiology and general guidelines of evaluation and treatment and provide a quick reference regarding the details of each specific fracture encountered in clinical practice.
跑步有许多有益的影响，包括心血管和骨骼健康。不良的训练技术和各种风险因素可能使跑步者易患下肢过度使用损伤，影响肌肉、肌腱和骨骼。骨骼损伤包括对完全性应力骨折的应力反应。本文旨在提供对涉及骨应变、危险因素评估以及应力性骨折跑步者的评估和治疗策略的一般概念的理解。文章的后半部分更详细地介绍了跑步者中每个特定骨折的情况。本文的最终目标是提供关于跑步者应力性骨折的基础知识，包括发病机制和评估与治疗的一般准则，并提供关于在临床实践中遇到的每个特定骨折的详细信息的快速参考。
