Lateral femoral neck stress fractures: A case report.

IF 2 Q2 ORTHOPEDICS World Journal of Orthopedics Pub Date : 2024-09-18 DOI:10.5312/wjo.v15.i9.891
Christiaan Aj Oudmaijer, Nuno R Paulino Pereira, David Visser, Alexander M Wakker, Wout S Veltman, Robbart van Linschoten
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Abstract

Background: Sport-induced injuries particularly affect young, healthy, and active individuals. Running, a popular and accessible sport, can cause a wide range of injuries, including stress fractures. Stress fractures can occur during high-intensity training or competitions, especially among well-trained amateurs and professional athletes. Adequate diagnosis can be complicated by the typically young age, unremarkable medical history, and vital condition of the patient. Stress fractures present insidiously, and this is specifically the case with stress fractures of the femoral neck. Timely intervention is crucial to prevent progressive displacement, as this can damage the blood supply to the femoral head.

Case summary: A 30-year-old male runner presented to our outpatient clinic with persistent pain 3 weeks after running a marathon. X-ray showed a complete lateral fracture of the left femoral neck, which was treated surgically with a dynamic hip screw.

Conclusion: It is essential for healthcare providers to be vigilant for the subtle symptoms of stress fractures to ensure timely treatment. Early recognition prevents complication and leads to a better prognosis.

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股骨颈外侧应力性骨折:病例报告
背景:运动引起的损伤尤其影响年轻、健康和活跃的人。跑步是一项广受欢迎且易于参与的运动,但它也可能导致各种损伤,包括应力性骨折。应力性骨折可能发生在高强度训练或比赛中,尤其是训练有素的业余运动员和专业运动员。由于患者通常年龄较小、病史不明显、生命体征不稳定,因此很难做出正确诊断。应力性骨折发病隐匿,股骨颈应力性骨折尤其如此。病例摘要:一名30岁的男性跑步运动员在跑完马拉松3周后,因持续疼痛到我院门诊就诊。X光片显示左股骨颈外侧完全骨折,通过动态髋关节螺钉进行了手术治疗:结论:医护人员必须对应力性骨折的细微症状保持警惕,以确保及时治疗。结论:医护人员必须对应力性骨折的细微症状保持警惕,确保及时治疗,早期识别可预防并发症的发生,从而获得更好的预后。
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