Management of Stress Fractures in Ballet

Vijay M. Jotwani, Justin O. Aflatooni, Lindsay E. Barter, Joshua D. Harris

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Stress fractures are highly prevalent in ballet dancers and lead to notable time loss from dancing. Nutritional status, body composition, bone mineral density, and rate of increase in activity are among the components that influence risk for stress fractures. Proper evaluation and management of stress fractures is essential including a review of the causative factors involved in each stress injury. The purpose of this article was to summarize current evidence for risk factors involved in dancers' stress fractures to optimize prevention and treatment. Identified associated factors include low energy availability, low bone mineral density, low fat body composition, abnormal lower extremity biomechanics, genetic factors, and high training loads.

Original languageEnglish (US)
Pages (from-to)543-553
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number12
StatePublished - Jun 15 2022


  • Body Composition
  • Bone Density
  • Dancing/injuries
  • Fractures, Stress/etiology
  • Humans
  • Risk Factors

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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