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Rolf Christer M.D. Ph.D.
Sports Medicine and Arthroscopy Review: October-December 1997
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Athletes occasionally sustain stress fractures in the hip, pelvis and groin area. The true incidence rate is not known. Most of these patients report initial symptoms of groin pain. Avulsion fractures occur mainly in adolescents, in typical cases during a sudden excessive movement. Osteoporosis stress fractures of the pubic bone should be suspected in the “anorectic” female endurance athlete. Stress fractures may also be caused by excessive overuse in active, skilled athletes. In particular, the stress fracture of the femoral neck should be treated with caution, since complications may be disastrous for an athlete. A clinical suspicion and an early bone scan are the two main considerations to avoid a delay in diagnosis. Treatment is mostly non operative. However, tension side stress fractures of the femoral neck should be operatively stabilized. Secondary muscular symptoms are common, mainly affecting the hip adductors and the iliopsoas muscle.

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