Femoral Shaft Stress Fractures Research Articles

FEMORAL STRESS FRACTURES

Stress fractures are common overuse injuries attributed to the repetitive trauma associated with vigorous weightbearing activities. A high index of suspicion is necessary to diagnose stress fractures of the femur because the symptoms may be vague. The precipitating factors, whether related to training errors or medical conditions, should be thoroughly evaluated. Early diagnosis of distraction femoral neck stress fractures is critical to avoid serious complications. Femoral shaft stress fractures have excellent healing potential when diagnosed early and treated non-operatively. Stress fractures of the femoral condyles are uncommon, but should be included in the differential of knee pain.

Femoral shaft stress fractures in runners: Michael Fredericson, MD (Stanford University Medical Center/Palo Alto Veterans Administration Medical Center, Stanford, CA); A. Gabrielle Bergman, MD; Kenneth L. Hoffman, MD, FRCP(C)

Femoral shaft stress fractures in runners: Michael Fredericson, MD (Stanford University Medical Center/Palo Alto Veterans Administration Medical Center, Stanford, CA); A. Gabrielle Bergman, MD; Kenneth L. Hoffman, MD, FRCP(C)

Scintigraphic Demonstration of Pectineus Muscle Avulsion Injury

An exercise-related avulsion injury of the insertion of the pectineus muscle is described. The abnormality was detected on a 4-hour delayed bone scan. Symptomatic injuries of the adductor muscles are uncommon and are not to be confused scintigraphically with a stress fracture of the proximal femoral shaft.

大腿骨骨幹部疲労骨折の１例

S tress fracture of the femoral shaft is not common, and especially it seems to be extremely rare in children. We report the cace of a 6-year-old child with a stress fracture of the left femoral shaft. His chief complaint was left gonalgia and claudication after running.Radiographs showed periosteal reaction arround distal third portion of his femur. Stress fracture was most suspected, but bone tumor could not be excluded. We examined bone scan and angiograph. Bone scan was positive, but angiograph was negative. We diagnosed this case as a stress fracture of the left femoral shaft. In many cases stress fracture is easily diagnosed, but in some cases bone biopsy is needed for its differential diagnosis. In our case angiographic study was useful for its differential diagnosis.We managed this case conservatively. Callus formation was good by radiographic study.We think that the number of young patients of stress fracture will increase because the number of children doing sports is increasing.

Femoral Shaft Stress Fractures in Athletes

Stress fractures of the femoral shaft in athletes occur most commonly in the proximal third of the femur. They can, however, also be found in the mid- or distal third. Conservative treatment is highly successful in healing these fractures without complications. Athletes can usually return to activity in 8 to 14 weeks. Recognition of the symptoms characteristic of these fractures (vague thigh pain, diffuse tenderness, no trauma) will assist early diagnosis. Early definitive diagnosis can be made by radionuclide scanning or later, by plain radiography, if symptoms have been present for a sufficient period. Diagnosis is not limited to novice runners since runners with significant mileage, or baseball or basketball players, can develop femoral shaft stress fractures.

Case Report: Femoral Fracture—Stress or Trauma?

A female basic trainee, complaining of vague upper leg pain during her third week of basic training, was suspected of developing a femoral neck or femoral shaft stress fracture. After conservative treatment, to include crutches, she had a minor fall and sustained a spiral oblique fracture of the femur. J Orthop Sports Phys Ther 1986;8(6):320-321.

Stress Fracture of the Femoral Shaft in Children

Stress fractures of the femur in children are unusual. This report describes the findings of two recent cases in children. Because of the potential for confusion with malignant lesions, it is hoped that these two illustrative cases will encourage the inclusion of a stress fracture diagnosis in femoral lesions in children. Also described is a CT scan finding which may be unique to stress fractures.

大たい骨骨幹部疲労骨折の１例

We reported a rare case of the stress fracture of femoral shaft, which occurred in a 34-year-old man running about 20 kilometer every day. He felt a knee pain during running at 10 September. We examined his knee at 14 Oct., but it was normal. But X-p of distal third of femur showed periosteal reaction and tomograph of lateral view showed linear radiolucency of posterior cortex. Stress fracture was diagnosed. Running was stopped for three months and then he began to run because X-p showed spindle-shaped enlargement of cortex.

Bilateral femoral and tibial shaft stress fractures in a runner

Bilateral femoral and tibial shaft stress fractures in a runner