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一名年轻军官双侧同时发生股骨颈应力性骨折的病例。

A Case of a Young Military Officer with Bilateral Simultaneous Femoral Neck Stress Fracture.

作者信息

Khired Zenat Ahmed

机构信息

Department of Surgery, Faculty of Medicine, Jazan University, Jazan, 45142, Saudi Arabia.

出版信息

Int Med Case Rep J. 2024 Feb 19;17:131-135. doi: 10.2147/IMCRJ.S411460. eCollection 2024.

DOI:10.2147/IMCRJ.S411460
PMID:38404752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10887935/
Abstract

Stress fractures of the femoral neck are rare in young adults and usually happen when the bone is repeatedly put under a lot of stress or because of a bone disease. The incidence of stress fractures is a major health concern for soldiers. Most often, stress fractures affect the metatarsals and tibias, while injuries to the femoral neck are less common. Exertional groin or anterior thigh discomfort that develops gradually over time is often vague and subtle; therefore, a high index of clinical suspicion is indicated. In most cases, the first radiographs will be normal. In order to properly diagnose a stress fracture in the femur, a CT scan is very helpful. Because most femoral neck fractures are not displaced when patients present with them, a diagnosis is often delayed. In conclusion, new military soldiers feeling hip pain should have a thorough medical evaluation to establish an early diagnosis and prevent any consequences.

摘要

股骨颈应力性骨折在年轻人中很少见,通常发生在骨骼反复承受大量压力时或由于骨病所致。应力性骨折的发生率是士兵们主要的健康担忧问题。最常见的是,应力性骨折影响跖骨和胫骨,而股骨颈损伤则较少见。随着时间逐渐出现的运动性腹股沟或大腿前部不适往往模糊且不明显;因此,需要高度的临床怀疑指数。在大多数情况下,最初的X光片会显示正常。为了正确诊断股骨应力性骨折,CT扫描非常有帮助。由于大多数股骨颈骨折在患者出现时并未发生移位,诊断往往会延迟。总之,感到髋部疼痛的新兵应该接受全面的医学评估以尽早诊断并预防任何后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/fc4ccd500df0/IMCRJ-17-131-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/f8b57e58b2ba/IMCRJ-17-131-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/ca732509a91c/IMCRJ-17-131-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/119416ee4f43/IMCRJ-17-131-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/fc4ccd500df0/IMCRJ-17-131-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/f8b57e58b2ba/IMCRJ-17-131-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/ca732509a91c/IMCRJ-17-131-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/119416ee4f43/IMCRJ-17-131-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6142/10887935/fc4ccd500df0/IMCRJ-17-131-g0004.jpg

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本文引用的文献

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Femoral Neck Stress Fractures: An Updated Review.股骨颈应力性骨折:最新综述
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