There are few comparative data regarding stress fractures among different racial groups. The majority of studies come from Europe and North America, and few report race or ethnicity of the participants. Two studies from the United States have attempted to examine differences in stress fracture rates between African Americans and whites [3,22]. Barrow and Saha [22] have found no differences, but their data were compiled from a questionnaire and included a sample of only 12 African American athletes. Nattiv and colleagues [3] also have reported no significant differences in stress fracture incidence between African American and white collegiate track athletes (P< .35). Studies from Japan and Korea show slight differences in fracture patterns compared with the more heavily studied white populations, but the differences are more likely related to the variation in activity rather than race [12,21,23].

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