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Arch Orthop Trauma Surg · Jul 2003
Comparative StudyStress fractures of the femoral neck and coxa vara.
- P Carpintero, F Leon, M Zafra, J A Serrano-Trenas, and M Román.
- Orthopaedic Department, Hospital Universitario Reina Sofia, Medicine School, University of Cordoba, Spain. pcarpinterob@medynet.es
- Arch Orthop Trauma Surg. 2003 Jul 1; 123 (6): 273277273-7.
BackgroundTheoretically, coxa vara substantially modifies the biomechanical conditions of the femoral neck, increasing the effect of direct muscle pull and leading to fatigue of opposing muscle groups; such modifications would appear to favour the appearance of stress fractures.MethodsWe studied 22 stress fractures of the femoral neck, 12 in patients with coxa vara (group A) and 10 in patients with a normal neck-shaft angle (group B), to assess the possible influence of the femoral angle in the production of stress fractures.ResultsIntergroup differences were found for age at the appearance of the fracture (younger patients in the coxa vara group) and symptom duration (longer in group A).ConclusionsIt is suggested that coxa vara predisposes to femoral neck stress-fracture.
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