Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

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

Ivković, Alan and Bojanić, Ivan and Pećina, Marko (2006) Stress fractures of the femoral shaft in athletes: a new treatment algorithm. British Journal of Sports Medicine, 40 (6). pp. 518-520. ISSN 0306-3674 (Print) 1473-0480 (Electronic)

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    English abstract

    BACKGROUND: Femoral shaft stress fractures in athletes are not common but pose a great diagnostic challenge to clinicians. Because of few clinical signs, diagnosis and treatment are often delayed. Furthermore, if not treated correctly, these fractures are well known for complications and difficulties. - - - - - OBJECTIVE: To develop a well structured and reproducible treatment algorithm for athletes with femoral shaft stress fractures. - - - - - METHODS: The proposed algorithm is carried out in four phases, each lasting three weeks, and the move to the next phase is based on the result of the tests carried out at the end of the previous phase. Over nine years, we treated seven top level athletes, aged 17-21. In all athletes, diagnosis was based on physical examination, plain radiographs, and bone scan. - - - - - RESULTS: As a result of the treatment method, all the athletes were fully engaged in athletic activity 12-18 weeks after the beginning of treatment. After completion of the treatment, the athletes were followed up for 48-96 months. During the follow up, there was no recurrence of discomfort or pain, and all the athletes eventually returned to competition level. - - - - - CONCLUSION: These results and data available from the literature suggest that the algorithm is the optimal treatment protocol for femoral shaft stress fractures in athletes, avoiding the common complications and difficulties.

    Item Type: Article
    MeSH: Algorithms ; Exercise Therapy - methods ; Femoral Fractures - etiology - radiography - therapy ; Fractures, Stress - etiology - radiography - therapy ; Running - injuries ; Adolescent ; Adult ; Female ; Humans ; Male ; Treatment Outcome
    Divisions: Katedra za ortopediju
    Depositing User: Lea Škorić
    Status: Published
    Ivković, Alan
    Bojanić, Ivan
    Pećina, Marko
    Date: June 2006
    Date Deposited: 14 Mar 2007
    Last Modified: 23 Sep 2011 18:10
    Subjects: /
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