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跑步者股骨应力性骨折

Stress fractures of the femur in runners.

作者信息

Lombardo S J, Benson D W

出版信息

Am J Sports Med. 1982 Jul-Aug;10(4):219-27. doi: 10.1177/036354658201000406.

DOI:10.1177/036354658201000406
PMID:7125043
Abstract

Early diagnosis, followed by conservative management, permitted five of six long-distance runners to return to running after they had suffered stress fractures of the femur. The sixth patient developed a displaced fracture of the femoral neck which was openly reduced and internally fixated at surgery: this athlete returned to marathoning one year later. In the series there were two fractures of the femoral neck and four of the proximal medical shaft of the femur. Although early diagnosis depends upon a complete history, physical examination and x-ray film results, bone scanning is a further aid when x-ray films still do not confirm the presumptive diagnosis.

摘要

早期诊断,随后采用保守治疗,使得六名长跑运动员中的五名在股骨应力性骨折后恢复了跑步。第六名患者发生了股骨颈移位骨折,在手术中进行了切开复位内固定:这名运动员一年后重返马拉松比赛。在该系列病例中,有两例股骨颈骨折和四例股骨近端内侧骨干骨折。虽然早期诊断依赖于完整的病史、体格检查和X线片结果,但当X线片仍不能证实初步诊断时,骨扫描是进一步的辅助检查手段。

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