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The American Journal of Sports Medicine 22:248-256 (1994)
© 1994 SAGE Publications

Stress Fractures of the Femoral Shaft in Athletes—More Common Than Expected

A New Clinical Test

Alan W. Johnson, MD, PhD

Student Health Services, Lafayette College, Easton, Pennsylvania

Carl B. Weiss, Jr., MD

Student Health Services, Lafayette College, Easton, Pennsylvania

Donald L. Wheeler, MS, ATC

Student Health Services, Lafayette College, Easton, Pennsylvania

Athletes from 20 Division I AA collegiate varsity sports and 1 club sport were followed carefully for the devel opment of stress fractures during the 1990 to 1991 and the 1991 to 1992 academic years. During this period, among 914 athletes, 34 stress fractures were sus tained. Seven of these, or 20.6%, were of the femoral shaft. This represents a much higher incidence than previously observed in athletes. A new clinical test is described that significantly aids in the early diagnosis and follow-up treatment of femoral shaft stress fractures.




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