Stress Fractures of the Femoral Neck Following Strenuous Activity

Volpin, Gershon; Hoerer, Dory; Groisman, Gabriel M.; Zaltzman, S; Stein, Haim

doi:10.1097/00005131-199004000-00005

Cited by 12 publications

(16 citation statements)

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“…Femoral neck stress fractures (FNSF) are however uncommon, representing between 3.5% to 8% of all stress fractures in military recruits [5][6][7][8]. In military personnel, FNSF represents a significant complication of realistic military training that can result in medical discharge [9].…”

Section: Introductionmentioning

confidence: 99%

Femoral Neck Stress Fractures in Military Personnel – A Case Series

et al. 2008

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Femoral neck stress fractures (FNSF) are uncommon, representing 5% of all stress fractures. In military personnel, FNSF represents one of the more severe complications of training, which can result in medical discharge. Clinical examination findings are often non-specific and plain radiography may be inconclusive--leading to missed or late diagnosis of FNSF This paper highlights the significance of FNSFs in military personnel and alerts physicians to the potential diagnosis. We identified all military recruits, aged 17 to 26, who attended the Infantry Training Centre (Catterick, U.K.), over a four-year period from the 1st July 2002 to 30th June 2006, who had suffered a FNSF. The medical records, plain radiographs, bone scans and MRIs of the recruits were retrospectively reviewed. Of 250 stress fractures 20 were of the femoral neck; representing 8% of all stress fractures and an overall FNSF rate of 12 in 10,000 military recruits. FNSFs were most prevalent amongst Parachute Regiment recruits (1 in 250, p < 0.05). Onset of symptoms was most commonly between weeks 13-16 of training. The majority (17/20, 85%) of FNSFs were undisplaced, these were all treated conservatively. Three FNSFs were displaced on presentation and were treated surgically. Overall, the medical discharge rate was 40% (8/20). FNSFs are uncommon and the diagnosis remains a challenge to clinicians and requires a high index of suspicion in these young athletic individuals. In such individuals early referral for MRI is recommended, to aid prompt diagnosis and treatment and to prevent more serious sequelae.

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confidence: 99%

Femoral Neck Stress Fractures in Military Personnel – A Case Series

et al. 2008

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“…7 The main difference between these two groups is that more than 50% of the fractures in military personnel are located in the distal femur (almost half of these are displaced), and most fractures in athletes are in the proximal femur. 6 8 9 Stress fractures of the femoral shaft are not common but when they do occur it is usually in the proximal third of the femur.…”

Section: Discussionmentioning

confidence: 99%

Stress fractures of the femoral shaft in athletes: a new treatment algorithm

Ivković

Bojanić²,

Pećina³

2006

Br J Sports Med

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“…Femoral neck stress fractures account for only 5% of all the stress fractures 1234. Although these fractures are infrequent in daily clinical practice, a strong suspicion is needed, especially when treating appropriate risk populations like military recruits and athletes.…”

Section: Introductionmentioning

confidence: 99%

“…Although these fractures are infrequent in daily clinical practice, a strong suspicion is needed, especially when treating appropriate risk populations like military recruits and athletes. Stress fractures in military recruits are seen with an incidence of about 4 to 5% 1234. There should be a high degree of suspicion for a fatigue fracture of the femoral neck in healthy young men reporting with hip and/or groin pain during physical activities.…”

Section: Introductionmentioning

confidence: 99%

“…The tension stress fractures located in the superior portion of the neck of the femur are susceptible for displacement, as compared to compression stress fractures located in the inferior part of the neck, classically seen in insufficiency fractures. One should try to differentiate tension stress fractures occurring superiorly, which need stabilization, as compared to compression stress fractures which can be treated conservatively 24. The diagnosis is often missed or delayed due to the non-specific patterns of clinical presentation.…”

Section: Introductionmentioning

confidence: 99%

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Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits

Sen

Trıpathy

Manoharan

et al. 2013

IJOO

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Neglected or late presenting femoral neck stress fractures are often associated with varus deformity, with potential risks of nonunion and osteonecrosis. We proposed a surgical technique whereby a wedge osteotomy was performed at the basal part of the neck, on the tensile surface, keeping the inferomedial femoral neck as a hinge. The femoral shaft was abducted to close the osteotomy site and it was fixed with three cannulated cancellous screws. Three military recruits who presented with neglected femoral neck stress fracture with varus deformity were operated on with the proposed modified femoral neck valgus osteotomy. All the fractures united without any complications and the patients resumed their professional activity.

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Stress Fractures of the Femoral Neck Following Strenuous Activity

Cited by 12 publications

References 0 publications

Femoral Neck Stress Fractures in Military Personnel – A Case Series

Femoral Neck Stress Fractures in Military Personnel – A Case Series

Stress fractures of the femoral shaft in athletes: a new treatment algorithm

Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits

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