A case report of stress fracture of the femoral shaft.

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S tress fracture of the femoral shaft is not common, and especially it seems to be extremely rare in children. We report the cace of a 6-year-old child with a stress fracture of the left femoral shaft. His chief complaint was left gonalgia and claudication after running.Radiographs showed periosteal reaction arround distal third portion of his femur. Stress fracture was most suspected, but bone tumor could not be excluded. We examined bone scan and angiograph. Bone scan was positive, but angiograph was negative. We diagnosed this case as a stress fracture of the left femoral shaft. In many cases stress fracture is easily diagnosed, but in some cases bone biopsy is needed for its differential diagnosis. In our case angiographic study was useful for its differential diagnosis.We managed this case conservatively. Callus formation was good by radiographic study.We think that the number of young patients of stress fracture will increase because the number of children doing sports is increasing.
西日本整形・災害外科学会の論文