Rev. DERC (Online) 2020; 26(4): 230-234
Clinical Case of Stress Fracture and Tendinitis: Only “Overuse” or Consequence of Overtraining Syndrome?
Abstract
Background:
Physical exercises are relevant to physical and mental health, but they can cause problems in the skeletal muscle system, resulting only from repetitive efforts (overuse) or as part of the overtraining syndrome.
Objective:
In case of tendonitis and fracture, establish the differential diagnosis between overuse and overtraining syndrome.
Case report:
A physician, at 57 years of age, overweight, started walking on a treadmill interspersed with runs, 3 times a week. Due to the closure of the gym in the COVID-19 pandemic, in late March he started running on the street. At the end of June, he was running about 6 km every day for 40-45 minutes, but 30 days later he starte do feel pain in his left ankle after training, not preventing him from running for another week, when he already had edema and Magnetic resonance imaging showed tendonitis and fracture in the distal portion of the tibia. At the time, according to the Brazilian Humor Scale (BRAMS) and hemodynamic parameters, there was no evidence of overtraining syndrome.
Conclusion:
In the absence of other manifestations related to overtraining syndrome, it can be concluded that tendinitis and stress fracture in the tibia resulted only from repetitive effort, allowing the diagnosis of overuse.
Keywords: Cardiovascular Parameters; Mood Profile; Physical Exercises
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