Bone Stress Injuries Are Associated With Differences in Bone Microarchitecture in Male Professional Soldiers

• DOI: 10.1002/jor.24442
• Publication Date: 2019-08-14T02:09:42Z
• Authors: Jakob E. Schanda; Roland Kocijan; Heinrich Resch; Andreas Baierl; Xaver Feichtinger; Rainer Mittermayr; Fabian Plachel; Robert Wakolbinger; Klaus Wolff; Christian Fialka; Wolfgang Gruther; Christian Muschitz
• Keywords: Diaphysis; Stress Fractures

Bone stress injuries are commonly due to repetitive loading, as often described in competitive athletes or military recruits. The underlying pathophysiology of bone is multifactorial. present cross-sectional study investigated (i) cortical and trabecular microstructure well volumetric mineral density subjects with at the tibial diaphysis, measured distal tibia radius by means high-resolution peripheral quantitative computed tomography (CT), (ii) areal using dual-energy X-ray absorptiometry calcaneal dual laser, (iii) influence on turnover markers formation resorption early phase after injury. A total 26 Caucasian male professional soldiers post-training injury diaphysis were included (case group). 50 male, from same institution served controls (control High-resolution CT revealed a higher area within case group. Cortical was reduced number thickness network more inhomogeneous Calcaneal laser significantly This quantified differences among otherwise healthy individuals. Differences microarchitecture may impair biomechanical properties increasing susceptibility sustain injuries. © 2019 Orthopaedic Research Society. Published Wiley Periodicals, Inc. J Orthop Res 37:2516-2523, 2019.