These findings suggest that LIPUS may have beneficial effects on stress fracture repair. In stress fractures displaying delayed- and non-union, LIPUS has been found to stimulate union in 98% and 94% of cases, re- spectively. LIPUS had no effect on the one anterior tibial cortex stress fracture treated, although this may have been influenced by the continuation of activity resulting in disruption of any healing attempts. In one tarsal navicular stress fracture, LIPUS report- edly stimulated bony union and allowed return to competition within 5 weeks. In seven posterior-medial cortex stress fractures of the tibia, introduction of LIPUS enabled continuation of activity and return to competition within 4 weeks. This has support from preliminary case reports. inter- vened in previous RCTs of the effect of LIPUS on fracture repair, it is possible that LIPUS will have beneficial effects on stress fractures.
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