Kasık Ağrısı ile Prezente Olan Kadın Sporcuda Görülen Multiple Stres Kırığı: Olgu Sunumu

Stres kırığı sporcularda ve askeri popülasyonda sık görülen kemiğin aşırı kullanım yaralanmasıdır. Sıklıkla tibiada ve metatarslarda görülür. Bu yazıda 25 yaşındaki kadın sporcuda konservatif olarak tedavi edilen sağ inferior pubik ramus, sağ asetabulum ve sol tibia metafiz kırığı multiple stres kırığı olgusu olarak sunulmuş ve multiple stres kırığı olan sporcularda predispozan faktörler, tanı, tedavi ve rehabilitasyon yaklaşımları literatür eşliğinde tartışılmıştır.

Anahtar Kelimeler:

Kasık ağrısı, Sporcu yaralanması, Stres kırığı

Multiple Stress Fractures Presented by Groin Pain in Female Athlete: A Case Report

Stress fracture is an overuse injury to the bone that is common in athletes and the military population. It is frequently seen in the tibia and metatarsals. In this article, a case of multiple stress fractures of the right inferior pubic ramus, right acetabulum and left tibia metaphysis, which were treated conservatively in a 25-year-old female athlete, was presented and predisposing factors, diagnosis, treatment and rehabilitation approaches in athletes with multiple stress fractures were discussed in the light of the literature.

Keywords:

Groin pain, Athlete injury, Stress Fracture,

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1. Saunier, J., & Chapurlat, R. Stress fracture in athletes. Joint Bone Spine. 2018; 85(3), 307-310.
2. Harrast, M. A., & Colonno, D. Stress fractures in runners. Clinics in sports medicine. 2010; 29(3), 399-416.
3. Carmont R.C., Mei-Dan O., Bennell L.K. Stress fracture management: current classification and new healing modalities. Oper Tech Sports Med. 2009; 17:81–89.
4. Royer M., Thomas T., Cesini J., Legrand E. Stress fractures in 2011: practical approach. Joint Bone Spine. 2012;79(Suppl. 2):86–90.
5. Bennell K, Matheson G, Meeuwisse W, Brukner P. Risk factors for stress fractures. Sports Med 1999;28(2):91- 122.
6. De Souza, M. J., Nattiv, A., Joy, E., Misra, M., Williams, N. I., Mallinson, R. J., et al. 2014 female athlete triad coalition consensus statement on treatment and return to play of the female athlete triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. British journal of sports medicine. 2014; 48(4), 289-289.
7. Williams, N. I., Koltun, K. J., Strock, N. C., & De Souza, M. J. Female athlete triad and relative energy deficiency in sport: A focus on scientific rigor. Exercise and sport sciences reviews. 2019; 47(4), 197-205.
8. Kahanov, L., Eberman, L. E., Games, K. E., & Wasik, M. Diagnosis, treatment, and rehabilitation of stress fractures in the lower extremity in runners. Open access journal of sports medicine. 2015; 6, 87.
9. James S.L. Bates B.T. Osternig L.R. Injuries to runners. Am J Sports Med. 1978; 6: 40-50.
10. Matheson, G. O., Clement, D. B., McKenzie, D. C., Taunton, J. E., Lloyd-Smith, D. R., & MacIntyre, J. G. Stress fractures in athletes: a study of 320 cases. The American journal of sports medicine. 1987; 15(1), 46-58.
11. Leal, C., D'Agostino, C., Garcia, S. G., & Fernandez, A. Current concepts of shockwave therapy in stress fractures. International Journal of Surgery. 2015; 24, 195-200.
12. Sofka CM. Imaging of stress fractures. Clin Sports Med. 2006;25(1):53-62, viii. Review.
13. Atalar H, Yanık B, Polat O, Sonel Tur B. Stres Kırıkları: Üç olgunun değerlendirilmesi ve literatür incelemesi. Romatizma 2007;22(1): 31-35.
14. Fredericson M., Bergman A.G., Hoffman K.L., Dillingham M.S. Tibial stress reaction in runners. Correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med. 1995;23(4):472–481.
15. McCormick F, Nwachukwu BU, Provencher MT. Stress fractures in runners. Clin Sports Med. 2012;31(2):291–306.
16. Hammond J.W., Hinton R.Y., Curl L.A., Muriel J.M., Lovering R.M. Use of autologous plateletrich plasma to treat muscle strain injuries. Am J Sports Med. 2009;37(6):1135–1142.