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

Clough, Timothy

doi:10.1136/bjsm.36.4.308

Cited by 60 publications

(49 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, because stress injuries may progress to complete fracture and result in prolonged recovery or career-ending complications, it is imperative to distinguish these entities and identify such injuries early [17][18][19][20]. Stress injuries are most commonly seen in endurance athletes, such as runners and military recruits, as well as recreational athletes with sudden increases in activity.…”

Section: Stress Fracturesmentioning

confidence: 99%

MRI of the Hip: Important Injuries of the Adult Athlete

et al. 2014

View full text Add to dashboard Cite

Hip pain is a common problem in adult athletes and may be caused by a wide range of acute and chronic injuries, many of which lead to prolonged time away from sport. This article highlights the magnetic resonance imaging (MRI) findings of important hip injuries in adult athletes, including select osseous, impingement, intraarticular, and musculotendinous injuries. The most commonly affected athletes, clinical presentation, and MRI findings of each injury are reviewed with corresponding clinical pearls from the orthopedist's perspective.

show abstract

Section: Stress Fracturesmentioning

confidence: 99%

MRI of the Hip: Important Injuries of the Adult Athlete

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Surgical stabilization of the fracture is typically based on the area and extent of involvement of the femoral neck. 16,77 Therefore, whenever a physical therapist is suspicious of a femoral neck stress reaction or fracture, imaging that is sensitive for the disorder is promptly indicated. In other situations, a patient may have clinical findings of a condition where there is evidence for the benefit of treatment such as a surgical procedure.…”

Section: The Evidence Regarding the Use Of Musculoskeletal Imaging Stmentioning

confidence: 99%

Musculoskeletal Imaging in Physical Therapist Practice

Deyle¹

2005

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

This article presents an overview of current concepts of evidence-based diagnosis using a variety of imaging modalities for a broad spectrum of musculoskeletal conditions and syndromes. There is limited but increasing evidence that physical therapists appropriately use diagnostic studies in clinical practice. Pathology revealed by diagnostic studies must be viewed in the context of the complete examination, as pathology is common in the asymptomatic population. Special Key Words: clinical decision rule, diagnosis, diagnostic imagingD iagnostic imaging is an important tool for the differential diagnosis of many musculoskeletal conditions. Physical therapists working in direct access roles are assuming greater diagnostic responsibility. The role of musculoskeletal imaging in physical therapist practice is therefore becoming increasingly important.127 Availability of diagnostic studies to physical therapists may vary greatly depending upon many factors within the practice setting. US Army physical therapists functioning as direct access providers have long held privileges for ordering imaging studies and laborator y tests considered essential to their diagnostic role. 7,12,43,47,48 Physical therapists who do not have the privilege to order imaging studies, especially with the greater direct access role conferred to physical therapists, should still be familiar with the indications and role of diagnostic radiology. In these situations, physical therapists should establish the proper professional interactions with individuals who can facilitate ordering necessary imaging studies. The Evidence Regarding the Use of Musculoskeletal Imaging Studies by Physical TherapistsThere is limited but increasing evidence that physical therapists appropriately use diagnostic studies in clinical practice. A study comparing the care administered by physical therapists with orthopaedic surgeons in the primary management of musculoskeletal problems determined that the physical therapists were most cost effective, with no

show abstract

“…She did not have exertional hip pain (pain only on significant athletic activity), nor did the patient have groin pain, or a history of a sudden increase in the intensity of her activity, which ruled out a femoral neck stress fracture. 5,8,31,52 Patients with femoral neck stress fractures are usually runners or persons who have a vigorous lifestyle. 5,8,31,52 The likelihood of pain referral from the lumbar spine was low because she had full trunk range of motion in all directions without complaint of pain or limitation of movement.…”

Section: Diagnosismentioning

confidence: 99%

“…5,8,31,52 Patients with femoral neck stress fractures are usually runners or persons who have a vigorous lifestyle. 5,8,31,52 The likelihood of pain referral from the lumbar spine was low because she had full trunk range of motion in all directions without complaint of pain or limitation of movement. Also, she had no pain in the lumbar spine or posterior superior iliac spine regions.…”

Section: Diagnosismentioning

confidence: 99%