Ha K I, Hahn S H, Chung M Y, Yang B K, Yi S R
National Police Hospital, Seoul, Korea.
Orthopedics. 1991 Oct;14(10):1089-95. doi: 10.3928/0147-7447-19911001-07.
One hundred thirty-one patients with 169 stress fractures were treated between January 1984 and January 1990. The highest incidence was in teenage girls (25.5%), and the predominant sites were tibia (31.5%) and femur (12.5%). The mean interval between the start of hard training and the onset of symptoms was 2.7 months and the mean amount of increased activities was 93.7%. Volleyball (24.3%) and running (17.3%) had the majority of incidents, and 95 (72.5%) patients were professional athletes. Radionuclide bone scans were needed in 61 (46.6%) patients and 16 (12.2%) showed multiple lesions. Asymptomatic stress fractures were found in 12 (9.2%) patients, and only five showed recurrence at the other sites. Eleven (6.5%) cases were treated operatively, and involved the tarsal navicular (2.9%) and femur (2.4%).
1984年1月至1990年1月期间，对131例患有169处应力性骨折的患者进行了治疗。发病率最高的是青少年女性（25.5%），主要发病部位是胫骨（31.5%）和股骨（12.5%）。开始高强度训练至出现症状的平均间隔时间为2.7个月，活动增加量的平均值为93.7%。排球运动（24.3%）和跑步运动（17.3%）引发的应力性骨折事件最多，95例（72.5%）患者为职业运动员。61例（46.6%）患者需要进行放射性核素骨扫描，其中16例（12.2%）显示有多处损伤。12例（9.2%）患者发现有无症状性应力性骨折，只有5例在其他部位出现复发。11例（6.5%）病例接受了手术治疗，涉及舟骨（2.9%）和股骨（2.4%）。
