Erne P, Burckhardt A
Arch Orthop Trauma Surg (1978). 1980;97(3):213-20. doi: 10.1007/BF00389729.
A report is presented on 25 fatigue fractures of the femoral neck in 20-year-old military recruits with an otherwise healthy skeleton. The problems of diagnosis are described. Principles for the treatment of these stress fractures are elaborated on the basis of pathophysiological considerations and of the clinical experience. A fracture in the radiological stage I (Endosteal callus formation) should be treated conservatively with immobilisation. In stage II (fissure at the calcar), and indication for surgery is relative, whereas in stage III (complete fracture of the femoral neck), a screw osteosynthesis should be carried out. Whereas the fatigue fractures in stages I and II usually heal without postoperative effects, complications are common in stage III, as in all femoral neck fractures.
本文报告了20岁健康新兵中25例股骨颈疲劳骨折的情况。描述了诊断问题。基于病理生理学考虑和临床经验，阐述了这些应力性骨折的治疗原则。放射学I期（骨内膜骨痂形成）的骨折应采用固定保守治疗。II期（股骨距裂隙），手术指征相对，而在III期（股骨颈完全骨折），应进行螺钉内固定。I期和II期的疲劳骨折通常愈合后无后遗症，而III期则如所有股骨颈骨折一样，并发症常见。
