Fratura de estresse bilateral do colo do fêmur em não atleta – relato de caso

Stress Fracture in Non-Athletes: A Systematic Review

“…In both situations, the imbalance between the formed and remodeled bone and the resorbed bone will result in a bone discontinuity in the affected site" [17]. Increasingly common in sports medicine clinics, stress fractures, according to Oliveira et al, can be divided etiologically into two groups: "1) Due to fatigue, which is a consequence of an abnormal stress applied to a bone with structure and normal elasticity (often seen in military personnel and long-distance runners); 2) Due to insufficiency of a normal muscle force applied to the bone that has deficient structure and elasticity (it occurs more often in elderly patients and is usually associated with postmenopausal osteoporosis or other types of osteoporosis caused by rheumatoid arthritis, diabetes mellitus or use of corticosteroids )" [18].…”

“…Imaging exams are essential for the diagnosis, treatment, and monitoring of stress fractures. Observation of the symptoms presented is essential for the performance of imaging tests that will corroborate the diagnosis of the stress fracture since in the initial stages 80% of stress fractures are not evident on radiographs and confirmation may be necessary diagnosis with magnetic resonance imaging or bone scintigraphy, which detects about 95% of cases in the initial phase of the fracture [4,18].…”