title: The effect of pulsed ultrasound in the treatment of tibial stress fractures.
abstract: Tibial stress fractures commonly occur in athletes and military recruits. This prospective, randomized, double-blind clinical study sought to determine whether pulsed ultrasound reduces tibial stress fracture healing time. Twenty-six midshipmen (43 tibial stress fractures) were randomized to pulsed ultrasound or placebo treatment. Twenty-minute daily treatments continued until patients were asymptomatic with signs of healing on plain radiographs. The groups were not significantly different in demographics, delay from symptom onset to diagnosis, missed treatment days, total number of treatments, or time to return to duty. Pulsed ultrasound did not significantly reduce the healing time for tibial stress fractures.
authors.affiliation: Dept of Orthopedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-2780, USA.
authors.forename: John-Paul H
authors.initials: JP
authors.lastname: Rue
authors.forename: David W
authors.initials: DW
authors.lastname: Armstrong
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Frassica
authors.forename: Martin
authors.initials: M
authors.lastname: Deafenbaugh
authors.forename: John H
authors.initials: JH
authors.lastname: Wilckens
mesh_terms: D000293:Adolescent; D000328:Adult; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011859:Radiography; D012016:Reference Values; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D014464:Ultrasonic Therapy / Q000379:methods*