The term march fracture was first applied to leg fractures to the tibia or shinbone of soldiers during the 1855 Crimean War, as a result of the harsh marching conditions. Today, this type of injury is generally referred to as a stress fracture. Athletic activities such as running, tennis, football, and basketball are the most common causes. March fractures can occur elsewhere in the body as well.
A sudden change in activities, such as increasing workout intensity, or jogging outdoors with no conditioning are two of the most common causes of march fractures. People diagnosed with osteoporosis or other conditions that cause weak bones are prone to these fractures, sometimes caused by simple daily activities. A wrongful step or sudden impact can cause march fractures, as can high heeled shoes. The bones of the lower leg and foot bear the weight of the entire body; these body parts absorb the impact of repetitive forces such as running, walking, or jumping, and this makes them most vulnerable to march fractures. With the addition of factors such as extra weight or the introduction of new activities without proper warmup, the likeliness of developing these types of fractures increases.
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