Hershman E B, Lombardo J, Bergfeld J A
Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York.
Clin Sports Med. 1990 Jan;9(1):111-9.
Stress fractures of the femoral shaft in athletes occur most commonly in the proximal third of the femur. They can, however, also be found in the mid- or distal third. Conservative treatment is highly successful in healing these fractures without complications. Athletes can usually return to activity in 8 to 14 weeks. Recognition of the symptoms characteristic of these fractures (vague thigh pain, diffuse tenderness, no trauma) will assist early diagnosis. Early definitive diagnosis can be made by radionuclide scanning or later, by plain radiography, if symptoms have been present for a sufficient period. Diagnosis is not limited to novice runners since runners with significant mileage, or baseball or basketball players, can develop femoral shaft stress fractures.
运动员股骨干应力性骨折最常发生在股骨近端三分之一处。然而，也可发生在股骨中段或远端三分之一处。保守治疗在治愈这些骨折且无并发症方面非常成功。运动员通常可在8至14周后恢复运动。认识这些骨折的特征性症状（大腿疼痛模糊、弥漫性压痛、无外伤）有助于早期诊断。早期明确诊断可通过放射性核素扫描进行，若症状已出现足够长时间，后期也可通过X线平片进行诊断。诊断并不局限于新手跑步者，因为有大量跑步里程的跑步者，或棒球或篮球运动员也可能发生股骨干应力性骨折。
