Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Upper-limb ‘stress fractures’ and an introduction to new terminology
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In print
Sports medicine
Upper-limb ‘stress fractures’ and an introduction to new terminology
Wednesday 26 April 2023, 12:40 AM

Gymnasts should take care to gradually increase training loads as the arms are not “designed” to be weight bearing [Image: Andrea Piacquadio on Pexels]
Sports physician Steve Targett discusses a recommended terminology update – from ‘stress fracture’ to ‘bone stress injury’ – then looks at such injuries in the upper limbs
Key points, Overuse injuries of bones should now be called bone stress injuries, with the term “stress fracture” reserved for cases where a fracture line is shown, Pract Green w Pale Yellow
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
1. Warden SJ, Hoenig T, Sventeckis AM, et al. Not all bone overuse injuries are stress fractures: it is time for updated terminology. Br J Sports Med 2023;57(2):76–77.
2. Karlson K. Upper extremity injuries. In Bone Stress Injuries: Diagnosis, Treatment, and Prevention. Tenforde AS, Fredericson M (eds). Demos Medical; 2021.