John H, Burckhardt A, Gächter A
Allgemeinchirurgische Klinik, Departement Chirurgie der Universität, Kantonsspital, Basel.
Helv Chir Acta. 1994 Apr;60(4):551-5.
From 1987 to 1989, 7272 Swiss infantry recruits were analysed for stress fractures in a retrospective study. In 33 patients 46 fractures were found. The average time of onset of the stress fractures was 4 weeks. Diagnosis at first medical consultation was correct only in 20%. Localization was calcaneus (23x), metatarsals (10x), tibia (6x), femoral neck (6x) and pelvis (1x). Immobilization was sufficient for therapy in all cases. None of them had operative procedures. Compared to 100 recruits without stress fractures, the patients had significantly more often foot pathologies, higher body length and were smokers. Physical fitness had no influence on the incidence of stress fractures.
在一项回顾性研究中，对1987年至1989年期间的7272名瑞士步兵新兵进行了应力性骨折分析。在33名患者中发现了46处骨折。应力性骨折的平均发病时间为4周。初次就诊时的诊断只有20%是正确的。骨折部位为跟骨（23例）、跖骨（10例）、胫骨（6例）、股骨颈（6例）和骨盆（1例）。所有病例通过固定治疗均足够，无一例进行手术。与100名无应力性骨折的新兵相比，这些患者足部病变更多见，身高更高，且吸烟者更多。身体素质对应力性骨折的发生率没有影响。
