Centrum für Muskuloskeletale Chirurgie, Charité University Hospital Berlin, Germany.
Zentrale chirurgische Notaufnahme, Charité University Hospital Berlin, Germany.
Z Orthop Unfall. 2022 Oct;160(5):564-571. doi: 10.1055/a-1401-0375. Epub 2021 Mar 29.
In the present report, a case of a healthy, 38-year-old male recreational marathon runner who presented in the emergency department is discussed. He was diagnosed with a stress fracture of the femoral neck and treated surgically using a dynamic hip screw (DHS). One year after surgery, the patient was able to return to most of his previous sports activities. In the present report, the existing literature on the subject is exhibited and the points of interest in terms of incidence, risk factors, diagnosis, classification, treatment, and long-term outcome are analyzed. We suggest operative treatment of stress fractures of the femoral neck even in cases of complete undisplaced ones. This way, the risk of a displacement is counteracted, and patients can quickly return to daily activities without having to withstand long-term immobilization.
在本报告中,讨论了一位健康的 38 岁男性业余马拉松运动员在急诊科就诊的病例。他被诊断为股骨颈应力性骨折,并使用动力髋螺钉(DHS)进行了手术治疗。手术后一年,患者能够恢复大部分以前的体育活动。在本报告中,展示了关于该主题的现有文献,并分析了发病率、危险因素、诊断、分类、治疗和长期结果方面的相关要点。我们建议对股骨颈应力性骨折进行手术治疗,即使是完全无移位的骨折也建议手术。这样可以抵消移位的风险,患者可以迅速恢复日常活动,而不必承受长期的固定。