一名患有女性运动员三联征的青春期女性长跑运动员股骨颈移位应力性骨折：病例报告。

Okamoto Shinichi, Arai Yuji, Hara Kunio, Tsuzihara Takashi, Kubo Toshikazu

Dept of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Dept of Orthopaedic, Kyoto Interdisciplinary Institute Hospital of Community Medicine, Murasakino Unrinin-tyo17, Kita-ku, Kyoto, 603-8214, Japan.

Sports Med Arthrosc Rehabil Ther Technol. 2010 Mar 5;2:6. doi: 10.1186/1758-2555-2-6.

This report presents a case of a displaced stress fracture of the femoral neck in an adolescent female distance runner with amenorrhea. Both reduction and internal fixation were performed early after the injury. At 24 months postoperatively, magnetic resonance imaging and bone scintigraphy showed no positive signs of femoral head necrosis and bone union was confirmed on plain X-ray. A medical examination for the presence of the signs of the female athlete triad by checking weight, calorie intake and menstrual cycles is most important to prevent such stress fractures. Athletes as well as their coaches or parents therefore need to understand female athlete triad.

本报告介绍了一名患有闭经的青少年女性长跑运动员股骨颈移位应力性骨折的病例。受伤后早期即进行了复位和内固定。术后24个月，磁共振成像和骨闪烁显像未显示股骨头坏死的阳性体征，X线平片证实骨已愈合。通过检查体重、热量摄入和月经周期来进行女性运动员三联征体征的医学检查对于预防此类应力性骨折至关重要。因此，运动员及其教练或家长需要了解女性运动员三联征。