Abstract | BACKGROUND: The fifth metatarsal bone is a common site of stress fractures in soccer athletes. Although several endocrine risk factors for stress fractures have been proposed, the endocrine risks for fifth metatarsal (5-MT) stress fractures have not been evaluated. METHODS: RESULTS: Logistic regression analyses adjusted for multiple confounders revealed that insufficient serum 25-OHD levels less than 30 ng/mL (odds ratio [OR], 23.3), higher serum PTH levels (OR, 1.01), or higher serum bone-specific isoform of alkaline phosphatase levels (OR, 1.10) rather than serum tartrate-resistant acid phosphatase 5b were associated with statistically significantly increased odds of 5-MT stress fractures. A postestimation calculation demonstrated that 25-OHD levels of 10 and 20 ng/mL were associated with 5.1 and 2.9 times greater odds for 5-MT stress fractures, respectively. CONCLUSION: 25-OHD insufficiency was associated with an increased incidence of 5-MT stress fractures. This insight may be useful for intervening to prevent 5-MT stress fractures. LEVEL OF EVIDENCE: Level III, case-control study.
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Authors | Yu Shimasaki, Masashi Nagao, Takayuki Miyamori, Yukihiro Aoba, Norifumi Fukushi, Yoshitomo Saita, Hiroshi Ikeda, Sung-Gon Kim, Masahiko Nozawa, Kazuo Kaneko, Masafumi Yoshimura |
Journal | Foot & ankle international
(Foot Ankle Int)
Vol. 37
Issue 3
Pg. 307-11
(Mar 2016)
ISSN: 1944-7876 [Electronic] United States |
PMID | 26596794
(Publication Type: Journal Article)
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Copyright | © The Author(s) 2015. |
Chemical References |
- Biomarkers
- Isoenzymes
- Parathyroid Hormone
- Vitamin D
- 25-hydroxyvitamin D
- Alkaline Phosphatase
- Tartrate-Resistant Acid Phosphatase
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Topics |
- Alkaline Phosphatase
(blood)
- Athletes
- Biomarkers
(blood)
- Case-Control Studies
- Fractures, Stress
(blood, etiology)
- Humans
- Isoenzymes
(blood)
- Male
- Metatarsal Bones
(injuries)
- Parathyroid Hormone
(blood)
- Risk Assessment
- Tartrate-Resistant Acid Phosphatase
(blood)
- Vitamin D
(analogs & derivatives, blood)
- Young Adult
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