Femoral Neck Stress Fractures in Athletes and the Military

Shaw, K. Aaron; Moreland, Colleen M.; Hunt, Tyler J.; Barkley, Colleen; O'Brien, Frederick P; Jackson, Keith L.

doi:10.2106/jbjs.21.00896

Cited by 6 publications

(2 citation statements)

References 76 publications

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“…Stress fractures are overuse injuries where repetitive force leads to bone fatigue and microarchitectural discontinuities, and these frequently occur in athletes and military recruits where the bone capacity is exceeded by the load placed upon it (7). The stress can be from the repeated pull of a muscle, joint impingement, or a weight-bearing extremity contacting the ground (8,9).…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of the Epidemiology, Management, and Outcomes of Golf-Related Fractures

Chen,

Williamson,

Murray

et al. 2024

Curr Sports Med Rep

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Golf is a popular sport; however, there is a paucity of data in relation to golf-associated fractures, and the rate and timing of returning to golf. The aim of this review is to describe golf-associated fractures, including epidemiology, management, and timing of returning to golf following treatment. A literature search was performed using MEDLINE/PubMed, Embase, and Web of Science. Data were extracted and summarized in a narrative synthesis. A total of 436 articles were identified with an initial search of which 58 met the inclusion criteria. Twelve anatomical sites of golf swing-related fractures were identified, of which 10 sites were specific for stress fractures. The most common sites of golf swing-related stress fractures were the ribs followed by the hook of hamate. There was a common theme of delay to diagnosis, being initially assigned to a soft tissue injury. Most golfers with swing-related stress fractures were able to return to golf with the exception of osteoporotic associated vertebral stress fractures. Timing of returning to golf was between 4 and 12 months for most of the golfers with stress fractures following conservative management. Operative intervention was an option of hook of hamate nonunion, following a stress fracture, and tibial shaft stress fractures. Golf equipment-related fractures were not rare and were associated with major trauma and in some cases associated with significant persistent morbidity. Golf-related stress fractures commonly involve the ribs and hook of hamate; knowledge of this may aid in early diagnosis and appropriate treatment when symptomatic golfers are encountered. Although golf is a noncontact sport, fractures associated with golf equipment can be life changing, and safety training guidelines should be established.

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Section: Introductionmentioning

confidence: 99%

A Scoping Review of the Epidemiology, Management, and Outcomes of Golf-Related Fractures

Chen,

Williamson,

Murray

et al. 2024

Curr Sports Med Rep

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“…Stress fractures in athletes are associated with high-impact, repetitive activities where cyclic loading of normal bone leads to local cortical disruption and microfracture 1-3 . These fractures occur most commonly in the lower extremity and are often associated with an increase in frequency or intensity of activity, especially in high-level athletes 1,2,4,5 .…”

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confidence: 99%

Symptomatic Ischial Stress Fractures in Elite Athletes Treated With Percutaneous Screws

Schultz

Mansour

Eastman

et al. 2022

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Cases:Two high-level athletes with symptomatic gluteal pain with explosive movements that had failed nonoperative management were eventually diagnosed with ischial stress fractures. These were treated with percutaneous posterior column screws. Both patients healed their fractures and made full return to sport.Conclusion:Ischial stress fractures should be considered in the differential for athletes with persistent gluteal pain. Percutaneous fixation is a minimally invasive and effective method of treating symptomatic ischial stress fractures that have failed nonoperative treatment.

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