Stress fractures of the femoral neck in runners: a review.
A systematic review, following strict inclusion criteria, identified 32/48 low and 16/48 high-performance runners with stress fractures of the femoral neck. Surgical treatment was performed in 33/48 cases and was significantly higher (p = 0.009) in high-performance runners. Among the 28/48 runners who resumed running, there were significantly more lower-performance runners (23/32) than higher-performing runners (5/16) (p = 0.012) and significantly more non-displaced (22/30) than displaced fractures (6/18) (p = 0.014). Complicated cases showed significantly less favourable follow-up results (p = 0.036). A significantly shorter (p = 0.032) diagnostic time for evaluation occurred with a previous history of a stress fracture or a relevant comorbidity. Stress fractures of the femoral neck represent an incisive incident for runners, and early consideration in the differential diagnosis of hip pain is required to avoid potential long-term sequelae and suboptimal function.
a Department of Traumatology , Federal Hospital Horn , Horn , Austria.
Thomas
T
Neubauer
a Department of Traumatology , Federal Hospital Horn , Horn , Austria.
Julian
J
Brand
b Department of Trauma and Orthopaedics , Guy's and St Thomas' NHS Foundation Trust , London , UK.
Surjit
S
Lidder
c Department of Traumatology and Sports Traumatology , Wilhelminenspital der Stadt Wien , Wien , Austria.
Manfred
M
Krawany
D003163:Competitive Behavior; D005265:Femoral Neck Fractures / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D015775:Fractures, Stress / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D059352:Musculoskeletal Pain / Q000209:etiology; D011998:Recreation; D000068958:Return to Sport; D012420:Running / Q000293:injuries*
Stress fracture; femoral neck; overuse; running sports