Document Detail

Exercise-induced stress injuries to the femur.
MedLine Citation:
PMID:  8407067     Owner:  NLM     Status:  MEDLINE    
Seventy-one athletes with 74 stress injuries to the femur were studied using a case-controlled design. Forty-three were females (26.6 yrs) and 28 were males (31.2 yrs). Each patient had exercise-induced pain in the hip, groin or thigh and a Tec-99m-MDP bone scan showing focal uptake of radionuclide in the femur. Running was the most common activity at the time of injury (89.2%) followed by triathlon (4.6%) and aerobic dance (4.6%). Thirty per cent of the runners had increased their training duration immediately prior to their first symptom. Anterior thigh pain was the most frequent site of exercise-induced pain (45.9%) followed by hip pain (27%) and groin pain (8.1%). During the clinical examination, when asked to hop on the affected limb, 70.3% of the patients had pain reproduced in the hip, groin or anterior thigh. There were 39 cases (53%) involving focal uptake of radionuclide in the femoral shaft, 15 (20%) in the lesser trochanter, 11 (15%) in the intertrochanteric region between the femoral neck and the greater trochanter, 8 (11%) in the femoral neck and 1 (1%) in the greater trochanter. Two patients suffered displaced fractures, one at the femoral neck and the other in the shaft of the femur. Neither patient had previously sought medical attention for their leg pain. Of 46 plain radiographs taken, only 11 (24%) were abnormal. The mean time to diagnosis and recovery were 6.6 and 10.4 weeks respectively. Substitution of cycling and water exercise for running were the most common therapeutic interventions.
D B Clement; W Ammann; J E Taunton; R Lloyd-Smith; D Jesperson; H McKay; J Goldring; G O Matheson
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of sports medicine     Volume:  14     ISSN:  0172-4622     ISO Abbreviation:  Int J Sports Med     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-11-18     Completed Date:  1993-11-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8008349     Medline TA:  Int J Sports Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  347-52     Citation Subset:  IM    
Sports Medicine Division, Univ. of British Columbia, Vancouver, Canada.
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MeSH Terms
Case-Control Studies
Femoral Fractures / radiography,  radionuclide imaging*
Femoral Neck Fractures / radiography,  radionuclide imaging
Femur / injuries,  radiography,  radionuclide imaging
Femur Neck / injuries,  radiography,  radionuclide imaging
Follow-Up Studies
Fracture Healing
Fractures, Stress / radiography,  radionuclide imaging*
Gait / physiology
Running* / physiology
Technetium Tc 99m Medronate / diagnostic use
Reg. No./Substance:
63347-66-0/Technetium Tc 99m Medronate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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