ArticleJournal of orthopaedic surgery and research2026
Epidemiology and anatomical distribution of stress fractures in children and adolescents: an 8-year retrospective study.
Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Incidence, Anatomic Distribution, and Return to Training After Stress Fractures in Okinawan Athletes.Orthopaedic journal of sports medicine · 2026Article
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5 authors.
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Abstract
objectiveThis study aimed to investigate the epidemiological characteristics and anatomical distribution of stress fractures (SFs) in a pediatric and adolescent population over an eight-year period.
methodsWe conducted a retrospective cohort study at a tertiary care orthopedic center. We reviewed medical records and imaging data for patients aged 6-18 years who were diagnosed with SFs between January 2017 and December 2024. Patients were assigned to age groups of 6-11, 12-15, and 16-18 years. We collected demographic data, fracture location, and annual consultation-based rates. Statistical analyses were performed using SPSS 26.0 and R software for trend analysis.
resultsA total of 726 patients (403 males, 323 females; median age 14 years, IQR 12-15) were included. The overall consultation-based rate was 23.20 per 100,000 unique pediatric orthopedic patients. Cases were concentrated in the 12-15 years age group, which accounted for 78.24%. The tibia was the most commonly involved bone (83.06%), and the proximal tibia was the single most frequent site (48.62%). Annual rates rose from 8.09 per 100,000 in 2017 to a peak of 38.98 in 2022, then declined to 23.98 in 2024(Poisson regression for linear trend, P < 0.001). Male patients had a higher proportion of proximal tibia fractures, whereas female patients had more mid- to distal-tibia fractures (P < 0.01).
conclusionsSFs predominantly affected adolescent males, and the proximal tibia was the most vulnerable site. The observed rise-and-fall trend temporally coincided with shifts in educational and physical activity policies in China, although causal inference was limited by the ecological study design. These descriptive findings emphasized the need for prospective studies that incorporate exposure and risk-factor assessment to inform targeted prevention strategies.
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