Oliveira Ubiratan Stefani de, Labronici Pedro José, João Neto André, Nishimi Alexandre Yukio, Pires Robinson Esteves Santos, Silva Luiz Henrique Penteado
Universidade Federal de São Paulo, Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Universidade Federal Fluminense, Niterói, RJ, Brazil; Hospital Santa Teresa, Serviço de Ortopedia e Traumatologia, Petrópolis, RJ, Brazil.
Rev Bras Ortop. 2016 Nov 2;51(6):735-738. doi: 10.1016/j.rboe.2016.10.013. eCollection 2016 Nov-Dec.
Bilateral stress fracture of femoral neck in healthy young patients is an extremely rare entity, whose diagnostic and treatment represent a major challenge. Patients with history of hip pain, even non-athletes or military recruits, should be analyzed to achieve an early diagnosis and prevent possible complications from the surgical treatment. This report describes a 43-year-old male patient, non-athlete, without previous diseases, who developed bilateral stress fracture of femoral neck without displacement. He had a late diagnosis; bilateral osteosynthesis was made using cannulated screws. Although the diagnosis was delayed in this case, the study highlights the importance of the diagnosis of stress fracture, regardless of the activity level of the patients, for the success of the treatment.
健康年轻患者双侧股骨颈应力性骨折是一种极其罕见的情况，其诊断和治疗是一项重大挑战。有髋部疼痛病史的患者，即使是非运动员或新兵，也应进行分析以实现早期诊断并预防手术治疗可能出现的并发症。本报告描述了一名43岁男性患者，非运动员，无既往疾病，发生双侧无移位的股骨颈应力性骨折。他诊断较晚；采用空心螺钉进行双侧骨合成。尽管该病例诊断延迟，但该研究强调了应力性骨折诊断的重要性，无论患者的活动水平如何，对于治疗成功都很重要。
