Hallel T, Amit S, Segal D
Clin Orthop Relat Res. 1976 Jul-Aug(118):35-43.
In 136 fatigue fractures in military recruits, 58 were in the femoral shaft and 43 were in the tibia. Fatigue fractures in the long bones of the lower limb can be classified on the extend of the periosteal reaction. Most were grade 1, showing periosteal reaction only on one or two cortices as seen on the anteroposterior and lateral projections of the roentgenograms. Physical activity was discontinued immediately when fatigue fracture of the femur or tibia was suspected on clinical grounds alone. Early clinical diagnosis the long bone fatigue fractures in all patients except one. The injured soldiers were ambulatory without plaster cast immobilization or crutches. The suggested classification was used to select patients with Grade 1 fatigue fracture for early resumption of active military training.
在136例新兵疲劳性骨折中，58例发生在股骨干，43例发生在胫骨。下肢长骨的疲劳性骨折可根据骨膜反应的程度进行分类。大多数为1级，仅在X线前后位和侧位片上显示一两个皮质的骨膜反应。仅凭临床怀疑股骨或胫骨疲劳性骨折时，即立即停止体育活动。除1例患者外，所有患者的长骨疲劳性骨折均得到早期临床诊断。受伤士兵无需石膏固定或使用拐杖即可行走。所建议的分类方法用于选择1级疲劳性骨折患者以便早期恢复积极的军事训练。
