Computationally solving the equations of elasticity is a key component in many materials science and mechanics simulations. Phenomena such as deformation-induced microstructure evolution, microfracture, and microvoid nucleation are examples of applications for which accurate stress and strain fields are required. A characteristic feature of these simulations is that the problem domain is simple (typically a rectilinear representative volume element (RVE)), but the evolution of internal topological features is extremely complex. Traditionally, the finite element method (FEM) is used for elasticity calculations; FEM is nearly ubiquituous due to (1) its ability to handle meshes of complex geometry using isoparametric elements, and (2) the weak formulation which eschews the need for computation of second derivatives. However, variable topology problems (e.g. microstructure evolution) require either remeshing, or adaptive mesh refinement (AMR) - both of which can cause extensive overhead and limited scaling. Block-structured AMR (BSAMR) is a method for adaptive mesh refinement that exhibits good scaling and is well-suited for many problems in materials science. Here, it is shown that the equations of elasticity can be efficiently solved using BSAMR using the finite difference method. The boundary operator method is used to treat different types of boundary conditions, and the reflux-free method is introduced to efficiently and easily treat the coarse-fine boundaries that arise in BSAMR. Examples are presented that demonstrate the use of this method in a variety of cases relevant to materials science: Eshelby inclusions, fracture, and microstructure evolution. Reasonable scaling is demonstrated up to $sim$4000 processors with tens of millions of grid points, and good AMR efficiency is observed.