A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: A case report

Okamoto, Shinichi; Hara, Kunio; Tsuzihara, Takashi; Kubo, Toru

doi:10.1186/1758-2555-2-6

Cited by 23 publications

(35 citation statements)

References 18 publications

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“…Current understanding suggests that bone stress injuries not identified and managed appropriately can progress to a more serious fracture, 18,22,23,31,32,44 and preventive strategies, including the identification and modification of risk factors, may help prevent the progression to a frank fracture. 22,32 Historically, radiographs and radionuclide bone scans have been the standard diagnostic tools used to assess and diagnose bone stress injuries.…”

mentioning

confidence: 99%

Image-guided Percutaneous Core Needle Biopsy of Musculoskeletal Tumors in Children

Mitton

Seeger

Eckardt

et al. 2014

Journal of Pediatric Hematology/Oncology

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mentioning

confidence: 99%

Image-guided Percutaneous Core Needle Biopsy of Musculoskeletal Tumors in Children

Mitton

Seeger

Eckardt

et al. 2014

Journal of Pediatric Hematology/Oncology

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“…The pain is often exacerbated by training, such as jogging or running, and is relieved by rest. 4 On physical examination, the most obvious feature is localized bony tenderness. Sometimes, redness, swelling, or periosteal thickening may be present at the site of the stress fracture.…”

Section: Examinationmentioning

confidence: 99%

“…Missing a stress injury of the femoral neck is feared because it can lead, through stress fracture, to a complicated displaced fracture and possibly avascular necrosis of the femoral head associated with displaced fracture of the femoral neck. 4,14 Intervention…”

Section: Imagingmentioning

confidence: 99%

“…2 Stress fractures can also frequently occur in adolescent athletes with amenorrhea, eating disorders, and osteopenia, otherwise known as the female athlete triad. 3,4 Several locations in the lower extremity have a predisposition towards developing stress fractures, including the tibia, metatarsals, and fibula. 5,6 Owing to the aforementioned subgroups and frequently reported sites of injury, clinicians will frequently screen athletes in these groups and add a differential diagnosis of stress fracture.…”

Section: Introductionmentioning

confidence: 99%

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Femoral neck stress fracture in a female athlete: a case report

Avrahami¹,

Pajaczkowski

2012

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe chiropractic rehabilitation of a master's-level athlete with proximal femoral stress fracture and provide a brief discussion of stress fracture pathology. Clinical Features: A 41-year-old female master's-level endurance athlete presented with chronic groin pain later diagnosed and confirmed by magnetic resonance imaging as a stress fracture of the femoral neck. After diagnosis, the patient was referred to a doctor of chiropractic at week 1 of the non-weight-bearing physical rehabilitation process. At that time, the patient presented with sharp and constant groin pain rated 6/10 on a numeric rating scale. Intervention and Outcome: This patient avoided weight-bearing activity for 8 weeks while cross-training and was able to return to her sport after this period. The patient was progressed through a series of non-weight-bearing strengthening exercises for the lower extremity. Myofascial release therapy was performed on the gluteal, hip flexor, and groin muscle groups to improve range of motion. Motion palpation testing the lumbar and sacroiliac joints was performed during each session, and manipulative therapy was performed when necessary. The patient was seen once a week for 8 weeks. Reevaluation was performed at week 8; at that time, the patient reported no groin pain (0/10). The patient was discharged from care and referred back to the supervising physician for clearance to return to sporting activities. One month after discharge, she reported that she was pain free and had fully returned to sport activities. Conclusion: This case report demonstrates the importance of a through clinical history, physical examination, and magnetic resonance imaging in the accurate diagnosis of a patient with chronic groin pain and that chiropractic care can contribute to rehabilitation programs for these injuries.

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“…In adolescence, such uncoupling of the rates of bone resorption and formation prevents girls from accruing as much bone mass as other girls . The resulting bone loss predisposes women to stress fractures (Goolsby, Barrack, & Nattiv, 2012;Okamoto, Arai, Hara, Tsuzihara, & Kubo, 2010;Popp et al, 2009) in the near term and to the premature onset of osteoporosis later in life.…”

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confidence: 99%

The Female Athlete Triad: A Metabolic Phenomenon

Loucks

2014

PensarMov.

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Loucks, A. B. (2014). The Female Athlete Triad: A Metabolic Phenomenon. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 12 (1), 1-23. The Female Athlete Triad (Triad) is a syndrome in which low energy availability triggers a broad range of endocrine mechanisms that conserve energy expenditure, and thereby impairs reproductive and skeletal health. Energy availability is the amount of dietary energy remaining after exercise training for all other physiological functions each day. The specific kind of reproductive dysfunctions caused by low energy availability are functional hypothalamic menstrual disorders. To ensure that affected athletes receive appropriate care, endocrine tests are required to diagnose these disorders by the exclusion of other types of menstrual disorders unrelated to the Triad. In addition, low energy availability impairs skeletal health by uncoupling bone turnover, in which the rate of bone resorption increases while the rate of bone formation declines. The result is a progressive loss or failure to accrue bone mass, which increases the risks of stress fractures and osteoporosis. Low energy availability originates in one or more of three sources: restrictive eating disorders, especially anorexia nervosa; intentional efforts to lose body weight or body fat to improve athletic performance or appearance; and the inadvertent suppression of appetite by exercise and diets containing a high percentage of carbohydrates. It is necessary to know the origin of low energy availability in a particular athlete in order to intervene effectively with her. The key behavior modification for preventing and treating the Triad is to increase energy availability, either by increasing dietary energy intake, reducing exercise energy expenditure, or both. Guidelines for doing so are provided. , 12 (1), 1-23. La tríada de la atleta (tríada) es un síndrome en el cual la baja disponibilidad de energía dispara una amplia gama de mecanismos endocrinos para disminuir el gasto energético, lo cual perjudica la salud reproductiva y esquelética. La disponibilidad energética es la cantidad de energía de la dieta que queda cada día, después del entrenamiento o el ejercicio, para todas las demás funciones fisiológicas. El tipo específico de mal funcionamiento reproductivo provocado por la baja disponibilidad energética son los trastornos menstruales hipotalámicos. Para asegurarse de que las atletas afectadas reciban la atención apropiada es necesario realizar pruebas endocrinas que sirven para diagnosticar los trastornos mencionados mediante la exclusión de otros trastornos menstruales no asociados con la tríada. La baja disponibilidad energética perjudica la salud esquelética debido al desacoplamiento del recambio óseo, en el cual la tasa de resorción aumenta mientras la tasa de formación de hueso desciende. El resultado es una pérdida progresiva de hueso o la incapacidad de acumular masa ósea, lo cual aumenta el riesgo de fracturas por estrés y de osteoporosis. La baja disponibilidad energética tien...

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A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: A case report

Cited by 23 publications

References 18 publications

Image-guided Percutaneous Core Needle Biopsy of Musculoskeletal Tumors in Children

Image-guided Percutaneous Core Needle Biopsy of Musculoskeletal Tumors in Children

Femoral neck stress fracture in a female athlete: a case report

The Female Athlete Triad: A Metabolic Phenomenon

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