Thienpont E, Bellemans J, Samson I, Fabry G
Department of Orthopedic Surgery, University Hospital Pellenberg, K.U. Leuven, Belgium.
Acta Orthop Belg. 2000 Jun;66(3):297-301.
The authors present the case of a 23-year-old athlete with a bifocal stress fracture of the pubis. Bifocal cases are rather rare, therefore an insufficiency fracture was suspected. Further investigation showed osteopenia due to secondary hypogonadotropic hypogonadism caused by anorexia nervosa. This case illustrates the need for awareness of underlying metabolic disorders in very rare cases of stress fractures in athletes.
作者介绍了一名23岁患有耻骨双灶性应力性骨折的运动员病例。双灶性病例相当罕见，因此怀疑是不全骨折。进一步检查显示，该患者因神经性厌食症导致继发性低促性腺激素性腺功能减退而出现骨质减少。该病例表明，对于运动员中极为罕见的应力性骨折病例，需要了解其潜在的代谢紊乱情况。
