Stress fractures of the femoral neck are more commonly seen and are described in Chapter 44. Stress fractures of the femoral shaft20 are occasionally seen and have the typical dull, aching pain seen with other stress fractures that increases with activity and resolves with rest. Usually, a history of changes in training, intensity, or frequency can be elicited from the athlete. Stress fractures are a sign of trabecular bony compromise in the attempt to balance bone remodeling due to unusual loads. Clinical tests as simple as levering the femur over an object (fulcrum test) have been used (Fig. 64-2).21 Bone scan or MRI is used as a diagnostic test. Rest or change of activity level or type will typically allow resolution of symptoms. Pool running can aid in maintaining conditioning with a return to activity in 2 to 4 months.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.