Brukner P, Bradshaw C, Khan K M, White S, Crossley K
Olympic Park Sports Medicine Centre, Melbourne, Australia.
Clin J Sport Med. 1996 Apr;6(2):85-9.
To review the cases of stress fracture seen over a 2-year period at a sports medicine clinic.
One hundred and eighty cases diagnosed as stress fractures on the basis of clinical picture and radiological evidence were reviewed. The following features of each stress fracture were noted: age, sex, site, sport/activity.
A sports medicine centre in Melbourne, Australia.
The average age was 21.8 years. Seventy eight of these stress fractures were seen in women, 102 in men.
The most common sites of stress fractures were the metatarsal bones (n = 42), tibia (n = 36), fibula (n = 30), tarsal navicular (n = 26) and pars interarticularis (n = 17). The most common sport was track (n = 54). Other common sports activities were jogging/distance running (n = 35), dance (n = 32) and Australian football (n = 14). The distribution of sites of stress fractures varied from sport to sport. Among the track athletes (n = 54), navicular (n = 19), tibia (n = 14) and metatarsal (n = 9) were the most common stress fracture sites. The distance runners (n = 35) predominantly sustained tibia (n = 15), and fibula (n = 8) stress fractures, while metatarsal stress fractures (n = 18) were the most common among dancers. The distribution of sports varied with the site of the stress fracture. In the metatarsal stress fractures (n = 42), dance was the most common activity. Distance running (n = 15) and track (n = 14) were the most common sports in the group to have sustained tibia stress fractures (n = 36). Track athletes (n = 14) were particularly prevalent in the navicular stress fracture group (n = 26).
The distribution of sites of stress fractures in this study shows some differences from previously published studies.
回顾一家运动医学诊所两年间所诊治的应力性骨折病例。
对180例根据临床表现及影像学证据诊断为应力性骨折的病例进行回顾。记录每例应力性骨折的以下特征：年龄、性别、部位、运动项目/活动。
澳大利亚墨尔本的一家运动医学中心。
平均年龄为21.8岁。其中78例应力性骨折见于女性，102例见于男性。
应力性骨折最常见的部位是跖骨（n = 42）、胫骨（n = 36）、腓骨（n = 30）、足舟骨（n = 26）和关节突（n = 17）。最常见的运动项目是田径（n = 54）。其他常见的体育活动有慢跑/长跑（n = 35）、舞蹈（n = 32）和澳大利亚式足球（n = 14）。应力性骨折的部位分布因运动项目而异。在田径运动员（n = 54）中，足舟骨（n = 19）、胫骨（n = 14）和跖骨（n = 9）是最常见的应力性骨折部位。长跑运动员（n = 35）主要发生胫骨（n = 15）和腓骨（n = 8）应力性骨折，而跖骨应力性骨折（n = 18）在舞蹈者中最为常见。运动项目的分布因应力性骨折的部位而异。在跖骨应力性骨折（n = 42）中，舞蹈是最常见的活动。长跑（n = 15）和田径（n = 14）是发生胫骨应力性骨折（n = 36）的人群中最常见的运动项目。田径运动员（n = 14）在足舟骨应力性骨折组（n = 26）中尤为常见。
本研究中应力性骨折部位的分布与先前发表的研究存在一些差异。
