Pećina M, Bojanić I, Dubravcić S
Department of Orthopaedic Surgery, School of Medicine, University of Zagreb, Yugoslavia.
Am J Sports Med. 1990 May-Jun;18(3):277-9. doi: 10.1177/036354659001800310.
In 1987, during two great skating contests--the Universiade in the Tatra Mountains and the Gold Pirouette in Zagreb--a total of 42 world class skaters were asked through a questionnaire if they had ever in their career suffered from a stress fracture. Of the 42 skaters, 9 had stress fractures. Four stress fractures occurred during preseason training (two fibular, one second metatarsal, and two fourth metatarsal stress fractures). Increased mileage was reported by three skaters and the fourth had done too much speed training on hills. Five stress fractures occurred during the season (one tibial and two tarsal navicular stress fractures and two stress fractures of the base of the fifth metatarsal). In all cases, the fracture occurred in the take-off leg. All of the subjects were competitive figure skaters with a daily training period of 3 to 8 hours, six times a week. The time from the onset of symptoms to definite diagnosis ranged from 2 to 10 weeks. Of the nine injured skaters, eight were treated conservatively and one skater with Jones' fracture was treated surgically. All of the skaters were able to resume a preinjury level of activity 3 to 7 months after treatment began. In conclusion, it may be emphasized that stress fractures in figure skaters are not rare and should, therefore, always be considered as a possibility.
1987年，在两场大型滑冰比赛——塔特拉山世界大学生运动会和萨格勒布的金皮鲁埃特比赛期间，通过问卷调查询问了总共42名世界级滑冰运动员在其职业生涯中是否曾患应力性骨折。在这42名滑冰运动员中，有9人患有应力性骨折。4例应力性骨折发生在季前训练期间（2例腓骨、1例第二跖骨和2例第四跖骨应力性骨折）。3名滑冰运动员报告了里程增加，第4名运动员在山坡上进行了过多的速度训练。5例应力性骨折发生在赛季中（1例胫骨和2例舟骨应力性骨折以及2例第五跖骨基底应力性骨折）。在所有病例中，骨折均发生在起跳腿。所有受试者均为竞技花样滑冰运动员，每天训练3至8小时，每周训练6次。从症状出现到明确诊断的时间为2至10周。在9名受伤的滑冰运动员中，8人接受了保守治疗，1名患有琼斯骨折的滑冰运动员接受了手术治疗。所有滑冰运动员在开始治疗后3至7个月都能够恢复到受伤前的活动水平。总之，可以强调的是，花样滑冰运动员的应力性骨折并不罕见，因此，应始终将其视为一种可能性。
