Femoral Head Insufficiency Fracture after Overuse Injury; Case Report of a Rare Entity and Literature Review
Main Article Content
Abstract
Background: Overuse injuries develop gradually over time without a specific traumatic event. They are more commonly reported as the cause of lower limb injuries compared to acute incidents. The incidence of overuse injuries varies among different sport types but comparing them across sports or establishing specific links is challenging due to methodological heterogeneity. Youth sports' growing popularity in the region has led to a rise in sports-related overuse injuries. Raising awareness is crucial for proper management and prevention of overuse injuries in this age groups.
Case Summary: Hence, we present a case report concerning a 10-year-old boy who experienced an overuse injury in a relatively uncommon area, specifically the femoral head.
Conclusion: Our intention is to contribute to the existing knowledge and comprehension of such injuries.
Article Details
How to Cite
USAMA, Mazin et al.
Femoral Head Insufficiency Fracture after Overuse Injury; Case Report of a Rare Entity and Literature Review.
Medical Research Archives, [S.l.], v. 13, n. 1, jan. 2025.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/6148>. Date accessed: 10 feb. 2025.
doi: https://doi.org/10.18103/mra.v13i1.6148.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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19. Sobrino FJ, de la Cuadra C, Guillén P. Overuse injuries in professional ballet: Injury-based differences among ballet disciplines. Orthop J Sports Med. 2015;3(6):232596711559011.
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23. Jawetz ST, Shah PH, Potter HG. Imaging of physeal injury: Overuse. Sports Health. 2015;7(2): 142-153. doi:10.1177/1941738114530948.
24. Bernstein EM, Kelsey TJ, Cochran GK, et al. Femoral neck stress fractures: An updated review. J Am Acad Orthop Surg. 2022;30(7):302-311.
2. DiFiori JP, Puffer JC, Aish B, Dorey F. Wrist pain, distal radial physeal injury, and ulnar variance in young gymnasts: Does a relationship exist? Am J Sports Med. 2002;30(6):879-885.
3. Arnold A, Thigpen CA, Beattie PF, Kissenberth MJ, Shanley E. Overuse physeal injuries in youth athletes: Risk factors, prevention, and treatment strategies. Sports Health. 2017;9(2):139-147. doi:10.1177/1941738116686467
4. Caine D, DiFiori J, Maffulli N. Physeal injuries in children’s and youth sports: Reasons for concern? Br J Sports Med.2006;40(9):749-760. doi:10.1136/bjsm.2005.017822
5. Roos KG, Marshall SW, Kerr ZY, et al. Epidemiology of overuse injuries in collegiate and high school athletics in the United States. Am J Sports Med. 2015;43(7):1790-1797. doi:10.1177/0363546515580790
6. Flachsmann R, Broom ND, Hardy AE, Moltschaniwskyj G. Why is the adolescent joint particularly susceptible to osteochondral shear fracture? Clin Orthop Relat Res. 2000;(381):212-221.
7. Percy EC, Gamble FO. An epiphyseal stress fracture of the foot and shin splints in an anomalous calf muscle in a runner. Br J Sports Med. 1980;14(2-3):110-113.
8. Carson WG, Gasser SI. Little leaguer’s shoulder. Am J Sports Med. 1998;26(4):575-580.
9. Jayanthi NA, LaBella CR, Fischer D, Pasulka J, Dugas LR. Sports-specialized intensive training and the risk of injury in young athletes: A clinical case-control study. Am J Sports Med. 2015;43(4):794-801. doi:10.1177/0363546514567298.
10. Post EG, Simon JE, Robison H, et al. Epidemiology of overuse injuries in U.S. secondary school athletics from 2014-2015 to 2018-2019 using the National Athletic Treatment, Injury, and Outcomes Network surveillance program. Orthop J Sports Med. 2022;10(5_suppl2):2325967121S0051. doi:10.1177/2325967122S0051.
11. Bell D, Biese KM, Post EG, et al. Sport specialization is a risk factor for overuse, but not acute, lower extremity injuries: A prospective study. Orthop J Sports Med. 2019;7(3_suppl):23259671 19S0011.
12. Field AE. Prospective study of physical activity and risk of developing a stress fracture among preadolescent and adolescent girls. Arch Pediatr Adolesc Med. 2011;165(8):723-728. doi:10.1001/a rchpediatrics.2011.34.
13. Yard EE, Knox CL, Smith GA, Comstock RD. Pediatric martial arts injuries presenting to emergency departments, United States 1990-2003. J Sci Med Sport. 2007;10(4):219-226. doi:10.1016/j.jsams.2006.06.005.
14. Demorest RA, Koutures C; COUNCIL ON SPORTS MEDICINE AND FITNESS. Youth participation and injury risk in martial arts. Pediatrics. 2016;138(6):e20163022. doi:10.1542/peds.2016-3022.
15. Zetaruk MN. Injuries in martial arts: A comparison of five styles. Br J Sports Med. 2005;39 (1):29-33. doi:10.1136/bjsm.2003.010011.
16. Lystad RP, Augustovičová D, Harris G, Beskin K, Arriaza R. Epidemiology of injuries in Olympic-style karate competitions: Systematic review and meta-analysis. Br J Sports Med. 2020;54(16): 976-983. doi:10.1136/bjsports-2019-101297.
17. Zetaruk MN, Zurakowski D, Violan MA, Micheli LJ. Safety recommendations in Shotokan karate. Clin J Sport Med.2000;10(2):117-122.
18. Zetaruk MN, Violan MA, Zurakowski D, Micheli LJ. Karate injuries in children and adolescents. Accid Anal Prev.2000;32(3):421-425.
19. Sobrino FJ, de la Cuadra C, Guillén P. Overuse injuries in professional ballet: Injury-based differences among ballet disciplines. Orthop J Sports Med. 2015;3(6):232596711559011.
20. Stracciolini A, Casciano R, Levey Friedman H, et al. Pediatric sports injuries: A comparison of males versus females. Am J Sports Med. 2014;42 (4):965-972. doi:10.1177/0363546514522521.
21. Magrini D, Nussbaum ED, Rizzone KH, Brown NJ. Femoral neck bone stress injuries in pediatrics and adolescents: Diagnosis, etiology, and treatment: Current concept review. J Pediatr Orthop Soc N Am. 2021;3(4).
doi:10.55275/JPOSNA-2021-0024.
22. Bencardino JT, Stone TJ, Roberts CC, et al. ACR Appropriateness Criteria ® Stress (fatigue/ insufficiency) fracture, including sacrum, excluding other vertebrae. J Am Coll Radiol. 2017;14(5): S293-S306.
23. Jawetz ST, Shah PH, Potter HG. Imaging of physeal injury: Overuse. Sports Health. 2015;7(2): 142-153. doi:10.1177/1941738114530948.
24. Bernstein EM, Kelsey TJ, Cochran GK, et al. Femoral neck stress fractures: An updated review. J Am Acad Orthop Surg. 2022;30(7):302-311.