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LTC Richard C. Elton, MC

JAMA. 1968;204(4):314-316.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

For four years, the author's practice of orthopedics has been primarily with the problem of the Army trainee. A relatively large number of stress fractures has been seen. As our ability to recognize these fractures increased, we saw them in greater numbers (Fig 1 to 6). Four individuals with stress fractures of the tarsal navicular bones have now been observed, one showing bilateral involvement of the navicular and of the right first cuneiform. To my knowledge, neither the navicular nor the cuneiform bone has been previously reported as a site for this type of fracture. Some of the bones never did show a fracture line on x-ray film. In the light of this, the term "stress reaction" of bone indicates that in a normal, healthy person, usually a young adult male, a process can occur which is regional in nature and manifests itself by osteoporosis of bone, followed by breakdown . . . [Full Text PDF of this Article]

Author Affiliations
USA

Dr. Elton is serving with the US Army in Vietnam.

Footnotes
Reprint requests to 85th Evac Hospital SMBL, APO San Francisco 96238 (Dr. Elton).

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