Displaced femoral neck stress fracture in a marathon runner

Kerr, P.S.; Johnson, David

doi:10.1016/0020-1383(95)00063-f

Cited by 15 publications

(17 citation statements)

References 6 publications

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“…To our knowledge, we are the first to report the true incidence of these fractures, as the earlier literature dealing with these fractures consists mainly of case reports 8,13,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] . The incidence of displaced fatigue fractures of the femoral neck decreased during the target period of the present study, from 5.3/100,000 service years before 1986 to 2.3/100,000 service years after 1986.…”

Section: Discussionmentioning

confidence: 99%

“…A high percentage of major complications (47%; nine of nineteen) such as osteonecrosis of the femoral head and severe (Tönnis Grade 2 or 3) osteoarthritis, was detected in the present series. According to a previous literature review, the rate of failure of surgical treatment of displaced fatigue fractures of the femoral neck has been approximately the same (38%) in military trainees and athletes, although it is noteworthy that the majority of the studies were case reports 8,13,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] , with only one extensive study 42 . Nearly half of the patients in our series required at least one additional operative procedure after the initial surgery, which further reflects the susceptibility for complications and prolonged morbidity as well as permanent disability related to these fractures in young men.…”

Section: Discussionmentioning

confidence: 99%

“…In large series of military recruits, the incidence of these fractures was reported to range from 3.5% to 8% of all diagnosed stress fractures 8,15,16 . Displaced fatigue fractures of the femoral neck are even more rare, and most previous reports have been case reports 8,13,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] .…”

mentioning

confidence: 99%

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Displaced Femoral Neck Fatigue Fractures in Military Recruits

Pihlajamäki¹,

Ruohola²,

Kiuru

et al. 2006

J Bone Joint Surg Am

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Displaced Femoral Neck Fatigue Fractures in Military Recruits

Pihlajamäki¹,

Ruohola²,

Kiuru

et al. 2006

J Bone Joint Surg Am

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“…Specific benefits of MRI scanning for FNSF investigation include the fact that it is minimally invasive, involves no exposure to ionizing radiation, is cost-effective, and can provide accurate diagnostic information about the surrounding anatomy 10 32 53 56 .…”

Section: Clinical Presentation Examination and Investigationsmentioning

confidence: 99%

Femoral Neck Stress Fractures in Sport: A Current Concepts Review

Robertson

Wood

2017

Sports Med Int Open

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Femoral neck stress fractures (FNSFs) account for 3% of all sport-related stress fractures. The commonest causative sports are marathon and long-distance running.The main types of FNSF are compression-sided, tension-sided and displaced. The most common reported symptom is exercise-related groin pain. Radiographs form the first line of investigation, with MRI the second-line investigation.The management of FNSFs is guided by the location and displacement of the fracture. Delay in diagnosis is common and increases the likelihood of fracture displacement. Sporting outcomes are considerably worse for displaced fractures. Education programmes and treatment protocols can reduce the rates of displaced FNSFs.This article aims to provide a current concepts review on the topic of FNSFs in sport, assess the current evidence on the epidemiology and pathophysiology of these injuries, detail the current recommendations for their imaging and management, and review the recorded sporting outcomes for FNSFs in the existing literature.From this study, we conclude that although FNSFs are a rare injury, they should be considered in all athletes presenting with exercise-related hip pain, because delay in diagnosis and subsequent fracture displacement can significantly impair future return to sport. However, when detected early, FNSFs show promising results in terms of return-to-sport rates and times.

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“…Although most femoral neck fractures are undisplaced at presentation, 2 3 diagnostic delay is common [3][4][5] ; Johansson et al 5 reported an average diagnostic delay of 14 weeks. Unfortunately this can lead to displacement of an initially undisplaced fracture.…”

Section: Discussionmentioning

confidence: 99%

Femoral neck stress fracture: the importance of clinical suspicion and early review

Clough

2002

Br J Sports Med

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Stress fracture of the femoral neck is rare and often initially missed. A high index of clinical suspicion is required in athletes presenting with a history of insidious onset, exertional groin pain and pain at the extremes of hip motion on examination. Regular review is recommended to prevent progression of the stress fracture to a displaced fracture, as this significantly worsens long term outcome.

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Displaced femoral neck stress fracture in a marathon runner

Cited by 15 publications

References 6 publications

Displaced Femoral Neck Fatigue Fractures in Military Recruits

Displaced Femoral Neck Fatigue Fractures in Military Recruits

Femoral Neck Stress Fractures in Sport: A Current Concepts Review

Femoral neck stress fracture: the importance of clinical suspicion and early review

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