Sakakibara Yuzuru, Ochiai Takashi, Ono Akira, Oyama Akimitsu, Teramoto Atsushi
Department of Orthopedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, JPN.
Department of Orthopedic Surgery, Muroran City General Hospital, Muroran, JPN.
Cureus. 2024 Feb 1;16(2):e53424. doi: 10.7759/cureus.53424. eCollection 2024 Feb.
Stress fractures of the proximal phalanx of the great toe are primarily attributed to repetitive shear forces, with the vertical ground reaction forces exerting several times the body weight. In the initial stages of injury, conservative management anticipates bone healing within approximately five weeks, followed by a gradual return to sports activities over an additional five weeks. Athletes presenting with pain in this region warrant a thorough evaluation for stress fractures to initiate timely conservative care. In instances of delayed healing or non-union, surgical intervention is indicated. However, literature on the management and optimal timing of surgery, particularly in adolescent athletes, remains sparse. This case report, complemented by a literature review, offers insights into management based on the patient's clinical course.
拇趾近节趾骨应力性骨折主要归因于重复性剪切力,垂直地面反作用力可达体重的数倍。在损伤初期,保守治疗预计骨折在约五周内愈合,随后再经过五周逐渐恢复体育活动。出现该区域疼痛的运动员需要进行全面评估以诊断应力性骨折,从而及时开展保守治疗。若出现愈合延迟或骨不连的情况,则需进行手术干预。然而,关于手术治疗及最佳手术时机的文献,尤其是针对青少年运动员的,仍然较少。本病例报告结合文献综述,根据患者的临床病程提供了治疗见解。