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健康非运动员青年双侧股骨颈应力性骨折——一例报告并文献复习

Stress Fracture of Bilateral Neck of Femur in a Healthy Non-athletic Young Adult - A Case Report With Review of Literature.

作者信息

Jalan Divesh, Rathore Khushwant Singh, Elhence Abhay, Kumar Yadav Sandeep, Maley Deepak Kumar

机构信息

Orthopaedics, Central Institute of Orthopaedics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, IND.

Orthopaedics, National Institute of Medical Sciences and Research, Jaipur, IND.

出版信息

Cureus. 2020 Oct 27;12(10):e11193. doi: 10.7759/cureus.11193.

Abstract

Stress fractures of femoral neck are rare injuries and are usually seen in military recruits, marathon runners, and elderly with osteoporosis, renal rickets, steroid abuse, and metabolic bone diseases. Bilateral involvement of femoral neck in a healthy, non-athletic young adult is an extremely rare entity. We report one such case of a 36-year-old male who presented with bilateral groin pain for last three months. He had a history of excessive running prior to the onset of pain. The investigations confirmed bilateral stress fracture of the femoral neck, and the patient was operated with dynamic hip screw (DHS) on both sides. He returned to his routine activities in six months and at latest follow-up after two years; he is asymptomatic and has full function at both hips. This report highlights a rare cause of bilateral groin pain in a young adult, which requires early diagnosis and treatment to prevent complications.

摘要

股骨颈应力性骨折是罕见的损伤,通常见于新兵、马拉松运动员以及患有骨质疏松症、肾性佝偻病、滥用类固醇和代谢性骨病的老年人。健康的非运动员年轻成年人双侧股骨颈受累是极为罕见的情况。我们报告一例36岁男性病例,该患者在过去三个月出现双侧腹股沟疼痛。他在疼痛发作前有过度跑步史。检查证实为双侧股骨颈应力性骨折,患者双侧均接受了动力髋螺钉(DHS)手术。他在六个月后恢复日常活动,在两年后的最新随访中;他无症状,双髋功能完全正常。本报告强调了年轻成年人双侧腹股沟疼痛的一种罕见原因,需要早期诊断和治疗以预防并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3b1/7704018/b5510fc28911/cureus-0012-00000011193-i01.jpg

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