Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(06): 813-818
DOI: 10.1055/s-0041-1739404
Relato de Caso
Artroscopia e Traumatologia do Esporte

Triathlete with Multiple Stress Fractures in the Lower Limbs: Case Report and Literature Review[*]

Article in several languages: português | English
Adriano Fernando Mendes Junior 
1   Ambulatório de Trauma do Esporte, Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Caio Gomes Tabet 
2   Programa de Residência Médica em Ortopedia e Traumatologia, Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Samuel Lopes Mendes 
3   Departamento de Ortopedia e Traumatologia, Santa Casa de Misericórdia de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Marcus da Matta Abreu 
4   Disciplinas de Medicina de Urgência e Emergência e Medicina do Esporte, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Nathália Carvalho de Figueirêdo 
5   Departamento de Medicina do Esporte, Esporte Clube Vitória, Salvador, BA, Brasil
› Author Affiliations Financial Support There was no financial support from public, commercial, or non-profit sources.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Recurrent stress fractures rarely affect the same athlete. We present the case of a female triathlete who suffered multiple stress fractures in both tibias, the right fibula, and the left femoral neck. Conservative treatment was instituted in all episodes, with rest, reduced training load, and physical therapy rehabilitation. The relative energy deficiency in sport syndrome, along with an eating disorder, training overload, and osteopenia, was identified as a risk factor. Although rare, multiple stress fractures can occur in female triathletes. These patients must be screened for risk factors associated with biomechanics, nutrition, and training to develop an effective prevention and treatment program.

Keywords

fractures, stress - female athlete triad syndrome - case reports

* Study developed at Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.




Publication History

Received: 05 May 2020

Accepted: 08 March 2021

Article published online:
07 December 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil