In today's episode, Dr. Malanga will discuss with his residents the underlying pathophysiology of stress fractures that occurs in the athletic population. After discussing the mechanism behind stress fractures, he will focus on the best course of action in regards to imaging modalities, treatment plans, and prognosis for athletes with underlying stress fractures. 

Time Stamp

· Intro (0:00)

· How to describe stress fractures (0:29)

· Pathophysiology of stress fractures: Bone abnormality vs. force overload (1:41)

· Wolff’s Law: Bones will adapt based on the stress or demands placed on them (2:33)

· Stress fractures in adolescent and young athlete population (5:40)

· Common stress fracture presentations and provocation maneuvers (9:00)

· Imaging modalities for suspected stress fractures (11:40)

· What use does ultrasound have in stress fractures? (14:24)

· Management and care for stress fractures (15:08)

· Does vitamin D play a role in stress fracture management? (15:38)

· Maintaining cardiorespiratory fitness levels with a stress fracture (19:20)

· Return to sport timeline (20:41)

· Closing remarks (23:35)