a Department of Traumatology , Federal Hospital Horn , Horn , Austria.
b Department of Trauma and Orthopaedics , Guy's and St Thomas' NHS Foundation Trust , London , UK.
Res Sports Med. 2016 Jul-Sep;24(3):185-99. doi: 10.1080/15438627.2016.1191489. Epub 2016 Jun 6.
A systematic review, following strict inclusion criteria, identified 32/48 low and 16/48 high-performance runners with stress fractures of the femoral neck. Surgical treatment was performed in 33/48 cases and was significantly higher (p = 0.009) in high-performance runners. Among the 28/48 runners who resumed running, there were significantly more lower-performance runners (23/32) than higher-performing runners (5/16) (p = 0.012) and significantly more non-displaced (22/30) than displaced fractures (6/18) (p = 0.014). Complicated cases showed significantly less favourable follow-up results (p = 0.036). A significantly shorter (p = 0.032) diagnostic time for evaluation occurred with a previous history of a stress fracture or a relevant comorbidity. Stress fractures of the femoral neck represent an incisive incident for runners, and early consideration in the differential diagnosis of hip pain is required to avoid potential long-term sequelae and suboptimal function.
一项系统回顾，根据严格的纳入标准，确定了 32/48 名低表现和 16/48 名高表现的股骨颈应力性骨折患者。33/48 例患者接受了手术治疗，在高表现跑者中显著更高（p=0.009）。在 28/48 名恢复跑步的跑者中，低表现跑者（23/32）明显多于高表现跑者（5/16）（p=0.012），无移位（22/30）明显多于移位（6/18）骨折（p=0.014）。复杂病例的随访结果明显较差（p=0.036）。有应力性骨折或相关合并症既往史的患者，评估的诊断时间明显缩短（p=0.032）。股骨颈应力性骨折是跑者的一个严重事件，需要早期考虑髋关节疼痛的鉴别诊断，以避免潜在的长期后遗症和功能不佳。
