Evidence map›Paper›PMID 26436007›Full record

ArticleJournal of clinical and diagnostic research : JCDR2015

High Incidence of Stress Fractures in Military Cadets During Training: A Point of Concern.

Abhinav Bhatnagar, Manoj Kumar, Deepak Shivanna, Aski Bahubali, Dayanand Manjunath

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. [Stress reactions and stress fractures].Radiologie (Heidelberg, Germany) · 2023
    Review
  3. Forefoot Injuries in Athletes: Integration of the Movement System.International journal of sports physical therapy · 2022
    Article
  4. Article
  5. Article
  6. Stress fractures: diagnosis and management in the primary care setting.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  7. [Stress fractures].Der Radiologe · 2016
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Abhinav BhatnagarRegistrar, Department of Orthopaedics, Fortis hospital , Mumbai, India .
Manoj KumarProfessor, Department of Orthopaedics, Bangalore Medical College and Research Institute , Bangalore, India .
Deepak ShivannaAssociate Professor, Department of Orthopaedics, Bangalore Medical College and Research Institute , Bangalore, India .
Aski BahubaliRegistrar, Department of Orthopaedics, Hardikar Orthopaedic Hospital , Pune, India .
Dayanand ManjunathLecturer, Department of Orthopaedics, Bangalore Medical College and Research Institute , Bangalore, India .
Fortis Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStress fractures occur due to repetitive cumulative micro trauma on the bone over a period of time. Stress fractures in military cadets is a rising cause of concern. It increases morbidity, long periods of absence from training and economic losses.

aimThe purpose of this prospective study was to determine the incidence and distribution of stress fracture (SFs) in Border Security Forces (BSF) cadets in Bangalore during their basic training tenure. MATERIALS AND

methodsA detailed analysis of history and physical assessment was performed of those presenting with symptoms of pain, swelling or deformity. These cadets then underwent radiographic imaging for the evaluation of symptoms. All cadets with clinical and radiological diagnosis of SFs were appropriately managed and followed up every two weeks till the time of union.

resultsThree hundred BSF candidates had clinical and radiological signs of SF with an overall incidence rate of 15%. The average age of the patients with SFs was 23 years (range 20-26). The incidence of SFs was highest during their physical training exercises and reached maximum at 12 weeks of the training schedule. Overall, the most common sites of bone injuries were the tibia (87.66%), fibula (7.8%), and metatarsals (2%). There were 5 femur fractures including one bilateral femur(1.67%) and two neck of femur (0.67%). Three tibia, three femur shaft and two neck femur fractures were operated and rest treated conservatively. All fractures healed in an average period of seven weeks. All cadets returned to their full activity in an average period of nine weeks.

conclusionThe study provides evidence that SF among BSF cadets occur frequently during their training period with undoubtedly high incidence rate which is probably underrated in Indian setting. To prevent stress fractures, modifiable causes and risk factors must be identified and a proactive approach which can help the cadets withstand intense physical activity should be adopted.

Indexed as

Border Security force (BSF)Fracture siteX-ray

Identifiers

PMID26436007
PMCPMC4576600
OpenAlexW2272013633

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.