■股骨颈应力性骨折是传统上在运动员和军事人员中发现的罕见骨折。关于返回活动的文献有限。
■要报告返回活动率和时间,和文献报道的股骨颈应力性骨折的长期结局。研究骨代谢功能障碍和手术管理对FNSF恢复活动的影响。
■对通过X线大体骨折线或MRI金标准诊断的成人股骨颈应力性骨折的病例报告和病例系列进行系统文献综述。最初的搜索仅限于Medline中列出的从1997年1月到2023年1月发表的文章,Embase,还有Scopus.通过搜索保留的纸张来源手动添加其他文章。患者人口统计学,骨折类型,回到活动时间,收集手术和非手术治疗方式。此外,长期结果和代谢作用,如果报告,是抽象的。
■共保留40例病例报告或病例系列。收集了103例患者的123例股骨颈应力性骨折。在103名患者中,53例患者可获得治疗后至少1年恢复活动的数据.有长期随访信息的人中有71%(37/53)恢复了受伤前的完整活动。24%(13/53)在长期随访中功能恢复,但由于残留疼痛而未恢复到伤前活动。4%(3/53)有致残性疼痛。36例患者的代谢检查信息可用。
■FNSF治疗后的长期随访和恢复活动信息并不常见。根据现有数据,结果似乎是良性的,大多数恢复到完全活动。FNSF治疗后,显然需要标准化随访期和髋关节功能测量。此外,相当大比例的FNSF发生在一个新的低活动个体与骨代谢异常的人群中,这值得进一步探索。
UNASSIGNED: Femoral neck stress fractures are rare fractures traditionally found in athletes and military personnel. There is limited literature on return to activity.
UNASSIGNED: To report return to activity rates and times, and long-term outcomes for femoral neck stress fractures reported in the literature. To examine the effects of bone metabolic dysfunction and surgical management on return to activity following FNSF.
UNASSIGNED: A systematic literature
review of case reports and case series on adults with femoral neck stress fracture that were diagnosed by gross fracture line on X-ray or gold-standard diagnosis with MRI was conducted. Initial search was limited to articles published from January 1997 to Jan 2023 listed in Medline, Embase, and Scopus. Additional articles were manually added via search of retained paper sources. Patient demographics, fracture type, return to activity time, and surgical vs non-surgical treatment modality were collected. In addition, long-term outcomes and metabolic effects, if reported, were abstracted.
UNASSIGNED: A total of 40 case reports or case series were retained. 123 stress fractures of the femoral neck from 103 patients were compiled. Of the 103 patients, data on return to activity at least one year following treatment was available for 53 patients. 71% (37/53) of those with long-term follow-up information returned to full pre-injury activity. 24% (13/53) at long-term follow-up had functional recovery but did not return to pre-injury activity due to residual pain. 4% (3/53) had disabling pain. Metabolic workup information was available for 36 patients.
UNASSIGNED: Long-term follow-up and return to activity information following FNSF treatment are not commonly reported. Based on the available data, outcomes appear benign with most returning to full activity. There is a clear need for standardization of follow-up periods and hip function measure after FNSF treatment. Additionally, a sizable proportion of FNSF occurred in a new population of low-activity individuals with abnormal bone metabolism, which warrants further exploration.