The clinical assessment of femoral stress fractures: a comparison of two methods.
In a prospective study among 667 recruits, the incidence of asymptomatic femoral stress fractures was compared using a new expanded stress fracture clinical examination (SFCA) versus an older stress fracture examination. There was a statistically significant difference (p = 0.0001) between the percentage of femoral stress fractures that were asymptomatic in the group evaluated by SFCA (26%) and those evaluated by the older stress fracture examination (80%). By using the SFCA, many of the femoral stress fractures previously classified as asymptomatic are in fact recognized as symptomatic.
Milgrom
C
C
Department of Orthopedic Surgery, Hadassah University Hospital, Ein Kerem, Jerusalem, Israel.
Finestone
A
A
Shlamkovitch
N
N
Eldad
A
A
Saltzman
S
S
Giladi
M
M
Chisin
R
R
Danon
Y L
YL
D005264:Femoral Fractures / Q000175:diagnosis*; D015775:Fractures, Stress / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008889:Military Personnel; D010808:Physical Examination / Q000379:methods*; D011446:Prospective Studies