Jasqui-Remba Salomon, Jasqui-Bucay Alan, Jasqui-Bucay Ariel, Fernández-De-Lara-Barrera Yeni
Department of Orthopaedic Surgery, American British Cowdray Medical Center, Ciudad de Mexico, Mexico.
Department of Orthopaedic Surgery, Hospital Ángeles Lomas, Huixquilucan, Mexico.
BMJ Case Rep. 2019 Aug 26;12(8):e230900. doi: 10.1136/bcr-2019-230900.
A 16-year-old female patient showed up at the orthopaedics unit complaining of intolerable pain on her left hip. While being questioned and her clinical history written down, she shared that as part of her daily exercise routine, she ran 10 miles (16 km) daily at a speed of 9.5-10.5 mph (15-17 km/hour). MRI was consequently ordered, confirming the presence of a stress fracture. Therefore, immediate suspension of physical activity was indicated, followed by the prescription of crutches as well as restricted weight bearing. Gradually, she recovered complete functionality and approximately a month after she had entirely healed. While on a skiing trip, again she abruptly developed an acute pain on her right hip. Another MRI was ordered; its result confirmed a new stress fracture. Her previous treatment has proved so successful, a conservative approach was once again prescribed for her, showing optimum results 6 months later.
一名16岁女性患者前往骨科就诊，主诉左髋部疼痛难忍。在接受询问并记录其临床病史时，她表示作为日常锻炼的一部分，她每天以每小时9.5至10.5英里（15至17公里）的速度跑10英里（16公里）。随后进行了核磁共振成像（MRI）检查，证实存在应力性骨折。因此，建议立即停止体育活动，随后开具了拐杖并限制负重。她逐渐恢复了全部功能，大约在完全愈合一个月后。在一次滑雪旅行中，她右髋部又突然出现剧痛。再次进行了MRI检查；结果证实出现了新的应力性骨折。她之前的治疗非常成功，于是再次为她采用保守治疗方法，6个月后取得了最佳效果。
