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我院自1992年以来收治4例股骨干应力骨折移位,均为男性新兵。年龄:18岁3例,19岁1例。均在3个月的新兵训练期间致伤。致伤过程:3例在参加5km越野长跑训练时发生,1例在发生股骨干骨折移位前3周即有股部用力性疼痛的症状,3周后在做一次弹腿动作时股骨干发生完全性骨折移位。骨折部位:均为股骨下段,左侧3例,右侧1例。X线表现:5km越野长跑致伤的3例均为股骨下段蝶形骨折移位,均无骨膜反应、骨痂形成或骨皮质增厚;股骨下段斜形骨折移位1例,有骨痂形成。治疗及结果:均采用开放复位、钢板内固定治愈。 讨论 应力骨折是由于低于强度极限的应力反复
Our hospital since 1992 treated 4 cases of femoral shaft stress fracture displacement, are male recruits. Age: 18 years old in 3 cases, 19 years old in 1 case. Injured during 3 months of recruiting training. Injury process: 3 cases took part in the 5km cross-country long-distance running training occurred in 1 case occurred in the femoral shaft fracture displacement 3 weeks before that have the symptoms of femoral pain, 3 weeks after doing a leg movement when the femoral shaft occurred Complete fracture displacement. Fracture site: all the lower femur, left in 3 cases, right in 1 case. X-ray findings: 5km off-road long-distance running injury in 3 cases were the femoral disc fractures, no periosteal reaction, callus formation or cortical thickening; oblique fracture of the lower femur in 1 case, the formation of callus . Treatment and results: All patients were treated with open reduction and internal fixation. Stress fractures are discussed due to repeated stress below the strength limit