Marching can cause stress fractures in the lower extremities.


Groups at risk:

(1) military

(2) backpackers

(3) hunters


Risk factors:

(1) heavy packs or other loads

(2) long distances

(3) suboptimal footwear

(4) osteoporosis

(5) youth

(6) obesity


The typical march fracture involves a metatarsal bone.


Other sites for a march fracture:

(1) calcaneus

(2) tibia

(3) femoral neck

(4) pubic ramus

(5) fibula


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