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Although it is not directly related to T12, the following paper is good background for anyone dealing with stress fractures. The paper describes the variability of healing rates and the risk for catastrophic failure depending on the anatomical location. It is good desktop reference material.
Harmon KG. Lower extremity stress fractures. Clinical Journal of Sports Medicine 2003;13:358-364
Since I don’t know the specific location or extent of the facture in this case, and I don’t have the clinical experience necessary for these judgments, I would suggest you ask what criteria are used for healing other than time. Maybe this is a difficult situation that requires further investigation before activity increases are prescribed.
Murray
Murray E. Maitland PhD PT
University of South Florida
School of Physical Therapy
12901 Bruce B. Downs Blvd
MDC 077
Tampa, Florida, USA
33612-4766
Telephone (813) 974-1666
Fax (813) 974-8915
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-----Original Message-----
From: - for physiotherapists in
education and practice [mailto:[log in to unmask]] On Behalf Of Wilson, Richard
Sent: Thursday, January 08, 2004
4:37 AM
To: [log in to unmask]
Subject: stress fracture T12
A happy new year to all on the forum.
A patient I saw today has been diagnosed as having a T12 STABLE crush fracture and presents with controllable pain level, full range of movement with minimal pain at the end ROM only. No neuro/ referred pain was assessed.
He has been told that he will not be allowed to play contact sports for 12 months. What do other people think of this? I would have thought 12 weeks and a graded return to be appropriate. Any article references?
Paul Sumner Cornwall, uk