J Orthop Sports Phys Ther. 1990;11(7):321-5. doi: 10.2519/jospt.1990.11.7.321.
The views and findings contained in this report are those of the authors and should not be construed as an official Department of the Army position, policy, or decision unless so designated by other official documentation. An avid 39-year-old female runner experiencing left groin pain was initially assessed as having a muscle strain but treated conservatively with crutch ambulation since the possibility of a left femoral neck stress fracture was not ruled out. A subsequent bone scan revealed a left medial femoral neck stress fracture. In the ensuing 18 months, evidence of stress fractures at multiple sites differing from the original fracture surfaced due to her noncompliance to the rehabilitation program and restrictions. Counseling for lifestyle modification were rejected by the patient. Resultant healing of her stress fracture was poor. Alerting clinicians to the importance of referral to behavior modification specialists from the onset of treatment for avid runners appears to be critical. In addition, a review of two other contributory factors possibly predisposing one to stress fractures was examined for consideration for future research.J Orthop Sports Phys Ther 1990;11(7):321-325.
本报告中的观点和发现是作者的观点，不应被视为美国陆军部的官方立场、政策或决定，除非其他官方文件另有指定。一位热衷于跑步的 39 岁女性，出现左侧腹股沟疼痛，最初被评估为肌肉拉伤，但由于不能排除左侧股骨颈应力性骨折的可能性，她采用了拐杖步行的保守治疗方法。随后的骨扫描显示左侧股骨颈内侧应力性骨折。在接下来的 18 个月中，由于她不遵守康复计划和限制，导致多个部位出现不同于最初骨折的应力性骨折。患者拒绝接受生活方式改变的咨询。她的应力性骨折愈合情况不佳。从热衷于跑步者治疗开始，提醒临床医生向行为改变专家转介的重要性似乎至关重要。此外，还对另外两个可能导致应力性骨折的促成因素进行了审查，以便为未来的研究提供参考。
J Orthop Sports Phys Ther 1990;11(7):321-325.
