- 期刊
- OpenAccess
股骨頸疲勞性骨折
Stress Fracture of the Femoral Neck
摘要
疲勞性骨折在軍中發生的機率頗高，部位以脛骨最多，一旦發生在股骨頸，若延誤診斷及治療，導致移位，恐有嚴重後果，如股骨頭缺血性壞死，內翻變形或末癒合的後遺症。而股骨頸疲勞性骨折的分類依Fullerton醫師方法有三：壓力型、張力型、及移位型三種，分類與治療及預後有密切關係。而診斷股骨頸疲勞性骨折主靠病史、理學檢查、和高度的懷疑。髖部X光片在早期通常無不正常發現，此時可以用核醫骨掃描或核磁共振來協助診斷。本文之主要目的在提醒醫師們對股骨頸疲勞性骨折的認識，尤其是對於從事劇烈運動或短期內有訓練量大增的軍人或長跑選手等，若主訴有髖部或鼠蹊部疼痛者，要特別注意排除此易誤診且有嚴重後遺症的疾病。
並列摘要
Stress fractures of the femoral neck are uncommon injuries and are often presented with groin or hip pain. The diagnosis is easily missed if physician did not pay much attention. Fullerton classified the stress fractures of the femoral neck into compression, tension and displaced types. If displacement of stress fracture of the femoral neck developed, serious complications such as avascular necrosis of femoral head, nonunion, or varus deformity may occur. Initial X-ray films are usually normal, but it could be early diagnosis by aids of bone scan or MRI image studies. It is important to suspect this diagnosis in young active individuals who recently have performed vigorous repetitive activity, and complain of groin or hip pain.
延伸閱讀
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