Koenig Scott J, Toth Alison P, Bosco Joseph A
Department of Orthopaedic Surgery, Boston University Medical Center, Boston, MA 02118, USA.
Am J Orthop (Belle Mead NJ). 2008 Sep;37(9):476-80.
In this review of prospectively collected data, representing the largest series of its kind, we identified 25 stress injuries of the diaphyseal femur in 20 athletes at an NCAA (National Collegiate Athletic Association) Division I university. All 20 patients successfully completed rehabilitation and returned to activity without limitations. Seventeen of these patients (representing 22 injuries) were female, and all 5 patients who sustained 2 stress injuries were female. The higher proportion of injured females in this study, and the histories of menstrual irregularities and disordered eating, raised the concern that the female athlete triad may be a factor. It is important to consider the diagnosis of stress injuries of the diaphyseal femur when evaluating thigh pain in running athletes, especially females, as early diagnosis and treatment lead to excellent outcomes and full return to activity. Magnetic resonance imaging should be considered the gold standard in the diagnostic evaluation of these injuries. Further, as stress fractures may be the first presentation of the female athlete triad, it is also important for orthopedic surgeons to identify the presence of risk factors that may predispose athletes to recurrent stress injuries and other health problems.
在本次对前瞻性收集数据的回顾中（这是同类研究中规模最大的系列），我们在一所美国国家大学体育协会（NCAA）一级大学的20名运动员中，发现了25例股骨干应力性损伤。所有20例患者均成功完成康复，且恢复活动时无任何限制。其中17例患者（涉及22处损伤）为女性，所有5例遭受2处应力性损伤的患者均为女性。本研究中受伤女性比例较高，且存在月经不规律和饮食失调史，这引发了人们对女性运动员三联征可能是一个因素的担忧。在评估跑步运动员，尤其是女性的大腿疼痛时，考虑股骨干应力性损伤的诊断非常重要，因为早期诊断和治疗可带来良好的结果，并能完全恢复活动。磁共振成像应被视为这些损伤诊断评估的金标准。此外，由于应力性骨折可能是女性运动员三联征的首发表现，对于骨科医生来说，识别可能使运动员易患复发性应力性损伤和其他健康问题的危险因素的存在也很重要。
