Monteleone G P
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pennsylvania, USA.
Orthop Clin North Am. 1995 Jul;26(3):423-32.
Stress fractures are common injuries in the athletic population. High clinical suspicion is required for the diagnosis because of vague historical and physical features. Bone scans are the gold standard of diagnosis, though MR imaging and CT may be helpful adjuncts. Most stress fractures do very well with the nonsurgical treatment approach. Some fractures of the proximal diaphysis of the fifth metatarsal, femoral neck fractures, and any displaced, completed fracture require surgery. Consideration must also be given for correctable risk factors and preventive measures must be addressed.
应力性骨折在运动员群体中是常见损伤。由于病史和体格检查特征不明确，诊断需要高度的临床怀疑。骨扫描是诊断的金标准，尽管磁共振成像（MR）和计算机断层扫描（CT）可能是有用的辅助手段。大多数应力性骨折采用非手术治疗方法效果良好。第五跖骨近端骨干的一些骨折、股骨颈骨折以及任何移位的完全骨折需要手术治疗。还必须考虑可纠正的风险因素并采取预防措施。
