运动员和军人股骨颈应力性骨折

K. Shaw, Colleen M. Moreland, T. Hunt, Colleen Barkley, F. O'Brien, Keith L. Jackson
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引用次数: 4

摘要

股骨颈应力性骨折(FNSFs)在运动员和军人人群中并不常见。➤高怀疑指数和广泛使用磁共振成像(MRI)对早期识别和治疗开始至关重要。MRI显示的相关髋关节积液是发生应力性损伤的危险因素,需要密切评估并考虑再次MRI检查。➤应激反应和稳定的、不完整的FNSFs(<股骨颈宽度的50%)可以非手术治疗。➤对于高危、不完全性(股骨颈宽度≥50%)和完全性FNSFs,可接受手术干预。总体而言,关于FNSF后活动恢复率的高质量文献很少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Femoral Neck Stress Fractures in Athletes and the Military
➤ Femoral neck stress fractures (FNSFs) are an infrequent condition in athletic and military populations.➤ A high index of suspicion with liberal use of magnetic resonance imaging (MRI) is vital for early recognition and treatment initiation.➤ An associated hip effusion on MRI is a risk factor for an evolving stress injury and requires close assessment and consideration for repeat MRI.➤ Stress reactions and stable, incomplete FNSFs (<50% of femoral neck width) can be treated nonsurgically.➤ Surgical intervention is accepted for high-risk, incomplete (≥50% of femoral neck width), and complete FNSFs.➤ Overall, there is a paucity of high-quality literature on the rates of return to activity following FNSF.
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