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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran
Feliciana, Anastasia
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Biomarker Fraktur Stres: Apa dan Kapan Harus Diuji? Feliciana, Anastasia; Daniel, Daniel; Halim, Grace Suriadi; Seputri, Merryana; Anggunadi, Angelica
Majalah Kedokteran Indonesia Vol 73 No 3 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.3-2023-1014

Abstract

Stress fractures are a common overused injury in both the general population, as well as the specialized population of athletes and military members.1,2 The incidence of stress fracture injuries is 21.1% in the athlete population, with higher rates in female athletes (9-13%) than male athletes (6.5%).3,4 Studies show 40% of athletes have experienced a stress fracture at some point in their career.3 Stress fracture injuries also account for 10% of orthopedic injuries and up to 20% of cases seen in sports medicine clinics. As many as 80-95% of stress fracture injuries occur in the lower extremities, with the commonest sites being the tibia, tarsal, metatarsal, and pelvis.3
Terapi Non-Operatif Fraktur Maleolus Lateral pada Atlet Usia Remaja sebelum Return to Play - Laporan Kasus: Laporan Kasus Feliciana, Anastasia; Laily, Inarota
Cermin Dunia Kedokteran Vol 53 No 08 (2026): Agustus 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i08.1891

Abstract

Introduction: An ankle fracture is a discontinuity of the distal tibia or fibula involving the tibiotalar joint and is the most common fracture site in football. Most football-related fractures can be managed non-operatively; however, return-to-play (RTP) decisions should not be based on time alone. Case: A 17-year-old male football player sustained an incomplete right lateral malleolus fracture with preserved alignment after two inversion injuries. He was immobilized in a cast for two weeks, followed by non-weight bearing with crutches, and was referred to a sports medicine clinic for ankle stiffness and right calf atrophy. Reconditioning consisted of twice-daily non-weight bearing ankle mobility and strengthening exercises, followed by balance training and functional testing. After one week, active range of motion and calf size were clinically comparable between sides, although right single-leg balance remained inferior despite exceeding 45 seconds. At the subsequent evaluation, single-leg balance exceeded 60 seconds bilaterally and was symmetrical; squats and lunges were pain-free with good movement quality; and single-leg hop distance was symmetrical, although right-sided landing stability remained mildly impaired. Discussion: This article aims to review the principles and protocols of therapy, especially non-surgical therapy, for lateral malleolus fracture before the patient was finally allowed to RTP, and to compare their application in this case. Conclusion: Non-operative management followed by progressive reconditioning enabled this athlete to begin graded non-contact training. Full RTP should be deferred until full training is tolerated without pain or swelling and landing stability has recovered.
Co-Authors Anggunadi, Angelica Daniel Daniel Dimas Nugroho Halim, Grace Suriadi Laily, Inarota Listya Tresnanti Mirtha, Listya Tresnanti Seputri, Merryana Shabrina, Meisya Tumanduk, Jason Oscar Yonathan