Boscagli G, Bernard J, Aillaud J
J Radiol. 1985 Jun-Jul;66(6-7):433-40.
The authors are performing a retrospective analysis of 12 femoral neck stress fractures gathered between 1977 and 1984 at the "Hôpital Regional des Armées de Toulouse". These fractures, localised at the femoral neck, occur after the beginning of training course, latter than by the other localisations. This shift can be explained by the acceleration of training level at the end of the instruction and by the importance of the muscle strain as a releasing factor of this pathology. The clinical is stereotyped, the X ray photographs often point out a fracture mark or a osseous condensation in strips perpendicular to the forces lines. However, the evolutionary potential of this fracture is high and the authors find out three displaced fractures. So they suggest a usual practice towards this pathology including a osseous radiography and scintigraphy the diagnostic should be done during the useful phase of this affection which is the stress prefracture state: stereotyped clinical frame, normal radiography and positive osseous scintigraphy.
作者正在对1977年至1984年间在图卢兹“陆军地区医院”收集的12例股骨颈应力性骨折进行回顾性分析。这些骨折位于股骨颈,发生在训练课程开始后,比其他部位的骨折出现得晚。这种时间上的延迟可以通过训练后期训练强度的增加以及肌肉拉伤作为这种病理状态的诱发因素的重要性来解释。临床表现具有典型性,X线照片常显示骨折线或与力线垂直的条带状骨质硬化。然而,这种骨折的发展趋势较高,作者发现了3例移位骨折。因此,他们建议针对这种病理状态采取常规做法,包括进行骨放射摄影和骨闪烁显像,诊断应在这种疾病的有效阶段即应力性骨折前期进行:典型的临床症状、X线摄影正常而骨闪烁显像阳性。