We report 3 cases of stress fracture of the femoral component (small size Whiteside Ortholoc II) in total knee replacements which occurred at 32, 52, and 73 months after operation. Tibial baseplate fracture associated with polyethylene wear and osteolysis after total knee arthroplasty. Disclaimer, National Library of Medicine A few months ago I started noticing a bit of pain in my right knee after long runs. Meniscus Tear? Nikolopoulos DD, Polyzois IG, Magnissalis EA, Bernard PF, Michos IV. Before A few days later, at the orthopedic office, my doctor, handed me the MRI report, telling me that there was no tear. Diagnosis can be be made with radiographs but findings often lag behind often resulting in negative radiographs early on. My doctor seemed to be in agreement but of course needed more evidence and so an MRI was ordered. One such measure is external fixation, in which a rod is attached externally to the body to hold the broken bone in alignment. Epub 2011 Aug 25. The distal femur is where the bone flares out like an upside-down funnel. An open or compound fracture is a break where the bone protrudes through the skin or when theres a wound that reaches down to the broken bone. Our case with bilateral tibial stress fracture developed after total knee arthroplasty (TKA) is the first of its kind in the literature. We determined both the frequency of PCL injuries that These types of fractures are more complicated and serious to treat because of the increased damage to the surrounding muscles, tendons, and ligaments and the increased risk of infection. Stress Reaction Femur. Not champion material, not elite, not even great, just average. Rev Bras Ortop. Careers. Int J Surg Case Rep. 2014;5(2):49-51. doi: 10.1016/j.ijscr.2013.11.011. Symptoms of a femoral stress fracture. In many cases, the replaced joint works normally for years before the fracture happens. Occasional tenderness around the hip and groin Causes. They may also happen as a result of a significant blow while playing sports. recommended views. 10. The patient's past medical history included a nondepressed fracture of the medial tibial plateau and complete tear of the deep fibers of the medial collateral ligament. Epub 2013 Dec 21. Symptoms of a fractured femur may include: Instant, severe pain. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); * Comments are subject to screening and manual approval. Looking for more information or have a question for our orthopedic surgeons? HHS Vulnerability Disclosure, Help In this case, an orthopedic surgeon may reposition and support the bone by screwing metal plates to the bones outer surface. A majority of fractured femurs require surgery. You may also need to wear a knee brace or splint to immobilize the knee and prevent further injury. eCollection 2020 Sep. da Palma IM, Albuquerque RP, Barretto JM. Here is one of the images. . I have had some knee pain for years arising from knee cap scraping but it has been tolerable. Nezwek TA, Rothy AC, Chapman RM, Van Citters DW, Koenig K. Arthroplast Today. Results: After analyzing the images, we found common characteristics among all patients, which might be attributable . Diagnosing a stress fracture around the knee can be a challenge. Unable to load your collection due to an error, Unable to load your delegates due to an error. Chithartha K, Thilak J, Sukesh AN, Theruvil B. Knee. 8600 Rockville Pike Please enable it to take advantage of the complete set of features! I have been a runner for a major part of my life. They are a rare breed. And so as I finally visited my orthopedic doctor, I resigned myself to the fact that I had a meniscus tear, possibly requiring surgery. with peri-articular fractures around the knee, including femoral shaft fractures, distal femoral fractures, patellar fractures, tibial plateau fractures, and tibial shaft fractures. Stress injuries can be found in the shin bone, foot, heel, hip and lower back. Epub 2014 Apr 13. And finally, Internet searches and anecdotal accounts are interesting and educational but no substitute for a professional diagnosis. Swarts E, Miller SJ, Keogh CV, Lim G, Beaver RJ. Pain that is worse when standing on the affected extremity and with exercise. Be sure to follow their instructions to avoid complications. Work with your specialist to make a healthy and responsible choice regarding the use of any pain killers in the opioid family. Would you like email updates of new search results? FOIA The femur bone is located in the thigh area. In the elderly, osteoporosis increases the risk of breaking ones femur. It's ok to pause a habitual activity such as running while recovering. You may require short-term use of pain medication during the initial phase of your healing. Say what? Limping and limited motion of the hip. Your patella acts as a shield, protecting your knee . Symptoms of a fracture near a replaced hip or knee joint: Pain near the replaced joint after a fall or trauma; Swelling or bruising; Inability to put weight on the leg; The leg looks deformed; Causes and risk factors. If you are experiencing leg or hip pain and would like to speak to an orthopedic specialist, please contact us. Clipboard, Search History, and several other advanced features are temporarily unavailable. As I was explained, an ACL tear would have led to an inability to even stand up. When is the last time an average 20 year-old made the news for running an average time marathon? The tibial fractures are rare cases. An MRI uses radio waves and a strong magnetic field to create detailed images of your bones and soft tissues. This procedure gives the body time to stabilize and heal in preparation for the longer final surgery. CT. Epub 2020 Aug 20. van Loon CJ, de Waal Malefijt MC, Buma P, Verdonschot N, Veth RP. Nous avons relev trois cas de fractures par fatigue sur un lment fmoral survenus 32 mois, 52 mois et 73 mois aprs une arthroplastie totale du genou. A couple of weeks ago I finally had my first small jog, and today I had an 8-mile run, slow, gentle, but pain-free. A "pinpoint pain" when touching your knee bone. Lots of white around that area indicating fluid and bone bruising, but as it turned out, no tears. Listen to your body, pain is telling you to slow down or stop. These approaches are most common for the very young or medically vulnerable. Emergency medical professionals and your treating orthopedic specialist use physical examination, x-ray imaging, and possibly an MRI or CT scan to determine the extent and location of the break. A stress fracture is a very small crack in the bone. (251) 476-5050. examiner's arm is used as a fulcrum under the patient's thigh as gentle pressure is applied to the dorsum of the knee with the opposite hand. Symptoms of a fracture near a replaced hip or knee joint: Fractures around hip replacements and knee replacements are often caused by a fall or a direct blow to the leg or joint. However, as with all bone scintigraphy, this is non-specific; the increased uptake can also be due to osteomyelitis, bone tumors or avascular necrosis. Distal femur fractures most often occur either in older people whose bones . People who have conditions that weaken their bones, such as osteoporosis or rheumatoid arthritis, are at a greater risk for this type of fracture, because the bone around the replacement will be more likely to break. The leg may appear shorter or visibly deformed. In general, the surgery will likely involve one of the following: The treatment your doctor recommends will depend on several factors, including: Adapted with permission fromhttps://orthoinfo.aaos.org, Fractures Around a Hip Replacement or Knee Replacement, Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, Pain near the replaced joint after a fall or trauma, Screws, cables, plates, or a bone graft that are applied to the fracture to fix and hold the bone together, The implant from the original joint replacement is removed and replaced with a new implant, The quality of the remaining bone around the fracture and the implant, Whether the replaced joint is still well-fixed or came loose because of the fracture. Orthop Clin North Am. Diagnosis: Physical exam revealed nonlocalized anterior and medial knee pain without evidence of internal derangement. Phone Icon. Prophylactic intramedullary nailing is recommended in patients > 60 or those with osteopenia. There is likely to be pain when a bending force is applied to the femur. 2012 Jun;20(6):1071-4. doi: 10.1007/s00167-011-1652-4. Treatment is nonoperative with protected weightbearing in young patients with good bone quality. Many orthopedic specialists use methods of internal fixation to physically reconnect your broken bone. In cases with additional serious injuries, temporary measures stabilize the leg before a more permanent surgical treatment. Overview. Problem is that running and aging don't coexist very well. 2015 Dec 8;46(3):325-8. doi: 10.1016/S2255-4971(15)30205-6. eCollection 2011 May-Jun. An official website of the United States government. A fracture near a hip replacement or knee replacement is also known as a periprosthetic fracture. Diagnosis. J Arthroplasty. Causes. They graduated from The George Washington University School of Medicine - Washington, D.C and is . Taking a break from a high-impact exercise routine, such as running, and doing some low impact exercise, such as cycling or swimming, for several weeks can help the fractured bone heal. Clinical results of Whiteside Ortholoc total knee replacement. Dr. Craig Miller, MD is an Orthopedic Shoulder & Elbow Surgery Specialist in Bethesda, MD. A stress fracture of the knee is a common injury that can cause immense pain and discomfort. Federal government websites often end in .gov or .mil. This was in the report conclusion: MRI findings suggestive of a subchondral nondisplaced fracture centered at the mid aspect of the medial femoral condyle, No discrete meniscal or ligament tear seen. Turns out that I should have listened to my body and reduced the level of activity because a few weeks later I was hobbling, almost unable to walk, let alone run. The concept of femoral "stress risers" at or near surgical implants is well documented in the total joint literature and represents a legitimate concern for those treating fractures between hip and knee arthroplasties [9]. Similarly, the upper part of the shin bone (tibia) is cut and . Healing typically takes 4 6 months, though it may take even longer if skin, tendons, or muscles were damaged or if the broken bone fractured into several pieces. It may even travel down into the knee. The circled area is the meniscus. Thigh bone pushing out through the skin. If a stress fracture is negatively affecting your quality of life and causing you to miss out on the activities you enjoy, please contact our Atlanta Knee Stress Fracture Treatment . Les implants utiliss taient des genoux entiers Whiteside Ortholoc II. As the pain slowly subsided, I took longer walks, discarded the tree branch I was using as a walking stick. sharing sensitive information, make sure youre on a federal Copyright 2022 Lineage Medical, Inc. All rights reserved. One common method is called intramedullary nailing. It can visualize lower grade stress injuries (stress reactions) before an X-ray shows changes. A couple of weeks later with the MRI results online, I pored over the images comparing them to online images of torn meniscus but my untrained eye couldn't determine if there was a tear or not. Stress Fracture? Bader R, Bergschmidt P, Fritsche A, Ansorge S, Thomas P, Mittelmeier W. Orthopade. Look for Our New Clinic in Heber - Coming Spring 2023, Bruising, pain, and/or swelling in the injured area. Fracture of titanium nitride-coated femoral component after total knee arthroplasty. Over time, the body cannot keep up with the forces acting on the bone and a break eventually occurs. An MRI is considered the best way to diagnose stress fractures. A stress fracture of the shaft of the femur does not produce any long-term effects, as long as it is appropriately treated and the cause of the injury identified and addressed. Trouble moving the injured leg. A fracture is a broken bone. This one didn't exactly arrive in an instant but it sure took a long time to leave, dropping me a few lessons during its unwelcome stay. My symptoms were very similar to those mentioned online and others with meniscus tear experience. La principale cause dchec vient vraisemblablement de la minceur du mtal sur la partie casse de limplant. Copyright 2022 Heiden Orthopedics. A knee stress fracture (also known as a hairline fracture) is an injury in which a small crack develops in your kneecap (patella). A femoral stress fracture often starts with a deep, dull gnawing or aching in the groin (inside of the leg) or front of the hip. Ortho Sport & Spine Physicians can help you get relief from the pain and other symptoms caused by knee stress fracture syndrome. MeSH We report 3 cases of stress fracture of the femoral component (small size Whiteside Ortholoc II) in total knee replacements which occurred at 32, 52, and 73 months after operation. 2012. A hip stress fracture is due to repetitive micro-trauma to the hip bone, typically from overuse activity. The .gov means its official. Fatigue fracture of the femoral component in total knee replacement. Eventually my knee became pain-free. is a medical group practice located in Cherry Hill, NJ that specializes in Orthopedic Surgery and Orthopedic Surgery (Physician Assistant). Stress fractures in the femur are relatively uncommon, constituting only 2.8 7% of all sport-related stress fractures.. Also, work with your physical therapist to regain strength and range of motion. We will be happy to answer your questions. Required fields are marked *. My grandfather used to say, pain arrives in an instant and takes a long time to leave. Bethesda, MD 20894, Web Policies MRI Diagnosis. Femoral bone loss in total knee arthroplasty. The pain is more noticeable when you walk or put weight on the leg. This holds your broken bone in place while it heals and reconnects. If an athlete pushes through pain and trains with a stress fracture, the fracture can enlarge or become a . Clin Orthop Relat Res (286): 71-77. Other risk factors are poor vision or poor balance, since these conditions can make a fall more likely. Symptoms include groin pain, an inability to walk or put weight on the affected leg, knee pain, an inability to fully lift the leg, bruising and . You may not be able to put any weight on the injured leg. Knee Surg Sports Traumatol Arthrosc. Stress fractures can also develop from normal use of a bone that's weakened by a condition such as osteoporosis. The distal femur is the area of the leg just above the knee joint. and transmitted securely. 2008 Feb;37(2):136-42. doi: 10.1007/s00132-007-1189-x. As you await surgery, your leg will likely be placed in a long-leg split or in traction to stabilize and support it. This site needs JavaScript to work properly. may be associated with osteopenia or osteoporosis in endurance athletes, repetitive loads that exceed the threshold of intrinsic bone healing, pain during activity is localized to the involved bone, examiner's arm is used as a fulcrum under the patient's thigh as gentle pressure is applied to the dorsum of the knee with the opposite hand, test is positive if pain and apprehension is experienced at the point of the fulcrum, periosteal high signal is the earliest finding, focal uptake in cortical and/or trabecular bone, rest, activity modification, protected weight bearing, restrict weight bearing until the fracture heals, incorporate cross-training into running programs, Progression to complete fractures occurs if unrecognized, Spontaneous Osteonecrosis of the Knee (SONK), Osgood Schlatter's Disease (Tibial Tubercle Apophysitis), Anterior Superior Iliac Spine (ASIS) Avulsion, Anterior Inferior Iliac Spine Avulsion (AIIS), Concussions (Mild Traumatic Brain Injury). The https:// ensures that you are connecting to the Stress fractures around the knee have a wide range of reported incidence in the literature, and they are probably underdiagnosed. Although not very commonly seen, Fractures in a prosthetic Knee have been reported in international literature. All rights reserved. The most common knee stress fracture symptoms include: Pain and swelling in your knee. Interestingly, a hip fracture is commonly a femur fracture a break occurring at the proximal end of the femur, near the hip socket. [Alternative materials and solutions in total knee arthroplasty for patients with metal allergy]. The site was at the junction between the medial posterior bevelled surface and the posterior flange. [Crossref] Whiteside LA, Fosco DR, Brooks JG Jr (1993) Fracture of the femoral component in cementless total knee arthroplasty. This generally occurs in the area near the ball of the ball-and-socket hip joint. While effective, opioids are narcotics and can be addictive. Dull pain that gets worse during activity and goes away with rest. Int Orthop 21: 54-55. Knee Stress Fracture Syndrome. This stress fracture is caused by repetitive forces greater than the bone can withstand. The best treatment for a stress fracture is rest. There have been back issues, herniated discs, sprained ankles, joint pain, muscle tension and breathing and stamina problems. Fractures of Femur, Tibia and Patella can all occur following injury to the prosthetically replaced Knee. Symptoms include a dull ache deep in the general area of the thigh. The latest challenge was severe knee pain that ended up sidelining me for three months. The PCL injuries were detected through clinical exami-nation, magnetic resonance imaging, and stress X-rays. This is known as the hang test. Directions. Fractures around hip replacements and knee replacements are often caused by a fall or a direct blow to the leg or joint. Femur fractures are classified by location, breakage pattern, and whether or not surrounding skin and muscle are damaged. MRI findings suggestive of a subchondral nondisplaced fracture centered at the mid aspect of the medial femoral condyle. A plastic bowing fracture of the distal metaphysis of the femur has been described and may mimic congenital subluxation of the knee. I was able to eliminate ACL injuries or tears rather quickly. They commonly occur due to a fall or a direct blow to the hip. Stress fractures are most common in the weight-bearing . A weight is then applied downwards onto the thigh. Call for an appointment (03) 6231 2477. The femur commonly called the thighbone extends from your pelvis to your knees, making it the longest bone in your body. Patella stress fractures are extremely rare, but are at serious risk for displacement. The differential diagnosis can be large, including bursitis, tendonitis, mechanical causes, insufficiency fracture, and tumor. If this does not happen, you may be at risk of a larger crack, a complete bone fracture or further stress fractures when you return to normal activity. In older children, nondisplaced fractures or stress fractures may occur. A meniscus tear seemed like a much more likely candidate. Privacy Policy. Some common symptoms of femur fracture include pain, swelling, bruising around the site of the injury, and limited mobility in the affected leg. I suddenly became sedentary and had to use a stick to walk even a short distance. - Femoral Shaft Stress Fractures C 5/4/2014 2594 views 4.3 (3) The site is secure. Sure you see news articles about octogenarians, nonagenarians, and centenarians running marathons but that's why these folks make the news. Radiographic examination revealed a lateral femoral condylar stress fracture. These overuse injuries may occur in the distal femur, patella, tibial plateau, proximal tibia, or tibia diaphysis. Traction elevates your leg via pulleys and counterweights, keeping it straight and helping to alleviate pain. Radiographs. Vague, diffuse pain or ache in the groin, thigh or knee. Once located and evaluated, femur fractures commonly require immediate surgical treatment, generally within 24 48 hours of the offending event. That wasn't quite my issue. Patients commonly present with hip, groin, gluteal, thigh, or knee pain . The fracture of your femur can occur in a variety of accidents. Over the next few weeks I took short walks, painful at first, and less painful as time passed. The surgery involves cutting the diseased ends of the bones forming the knee joint. Pain medication, icing, sports gels, and knee braces weren't helping. Talk to your doctor if your pain levels arent decreasing within a few days of surgical repair. 1989 Jan;20(1):113-24. An avulsion osteochondral fracture is present in the medial margin of the medial tibial plateau (arrow). [Crossref] Regional Orthopedics, P.A. Physical therapy can also be helpful in healing a . So far I have been lucky that many of the symptoms have healed or at least improved allowing me to resume running after some period of rest. 2001 Oct;16(7):927-34. doi: 10.1054/arth.2001.25508. These injuries are often not considered in the initial presentation, and a high index of suspicion must be maintained. There was pain on the side of the knee (lateral side), I couldn't straighten my leg, and the location of the pain was tender to the touch. Knee ACL Injury? Bilateral Femoral Component Fractures After Primary Total Knee Arthroplasty With Cruciate-Retaining Femoral Component. Imaging. There is not yet a precise criteria for defining a femoral "stress riser," but the term has been associated with the Contact us in Columbus, OH today to get your knee pain properly diagnosed! It is important to rest and ice the knee as soon as possible after the injury to promote healing. A Femoral Neck Stress Fracture (FNSF) is caused by repetitive loading of the femoral neck that leads to either compression side (inferior-medial neck) or tension side (superior-lateral neck) stress fractures. DOI: 10.1097/00005373-198811000-00007 View full text |Buy / Rent full text FRACTURE OF THE TIBIAL COMPONENT IN TOTAL KNEE ARTHROPLASTY: REPORT ON TWO CASES. official website and that any information you provide is encrypted In most cases, a fracture around a hip replacement or a knee replacement will require surgery. I am certainly not immune to the ravages of aging. There was considerable pain in the lateral side (the crotch side) of the right knee and it wasn't healing. A metal rod is inserted at the hip or knee, passed through the fractured area, and screwed into place. Fractured Whiteside Ortholoc II knee components. The lower part of the thigh bone (femur) is cut and replaced with a femoral component. Knee Surg Sports Traumatol Arthrosc. In other words, and as my doctor explained, this was one or more small stress fractures with some amount of fluid surrounding it. Inability to stand or walk. Stress fractures are partial or complete breaks resulting from repetitive stress and overuse. test is positive if pain and apprehension is experienced at the point of the fulcrum. Your email address will not be published. Because it is also the bodys strongest bone, fracturing it requires significant force and is a serious injury. Deformity of the injured area. Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. This can happen from repetitive trauma and is commonly seen in athletes - particularly long-distance runners. While most femur fractures require surgery, specialists sometimes realign the broken bone from outside the body. Stress fractures of the femur in runners may occur in the femoral neck, trochan-teric and subtrochanteric region, and femoral shaft. Introduction: Fracture occurring around a Knee which has undergone Total Knee Replacement are called Periprosthetic Fractures. Fracture at the stem-condylar junction of a modular femoral prosthesis in a varus-valgus constrained total knee arthroplasty. Accessibility 2020 Jul 13;6(3):496-501. doi: 10.1016/j.artd.2020.06.001. Bookshelf This pain was noticeably different but it would subside after a day and so I continued with my normal running schedule. In other words, and as my doctor explained, this was one or more small stress fractures with some amount of fluid surrounding it. We report a case of femoral supracondylar stress fracture in a 48-year-old man, emphasizing the importance of early image study for the diagnosis of stress . If the fracture includes the hip or knee joint, intramedullary nailing is not possible. Femoral shaft stress fractures are overuse injuries in which abnormal stresses are placed on trabecular bone of the femoral shaft resulting in microfractures. PMC My marathon times are in the 4:10-ish area, but I do run consistently and over the decades it has become an inexorable part of my life. The most likely cause of failure is due to the thinness of the metal at this point. Walking isn't the same but it's a good low impact substitute. Periprosthetic fractures around the knee after total knee arthroplasty can be seen in the femur, tibia and patella. While most femur fractures are serious and require surgery, a less serious type of fracture called a stress fracture may heal on its own. The most mentioned diagnoses were ACL injury and meniscus tear. The leg may appear shorter or visibly deformed. And it becomes stronger or sharper with more strenuous movement . Fig. Stress fractures on bone scintigraphy appear as foci of increased radioisotope activity ('hot spot') due to increased bone turnover at the site of new bone formation. His orders were to stay off running for 3 months, take pain killers and ice as necessary. I could stand or even walk, albeit with much pain. The most likely ca No discrete meniscal or ligament tear seen. femur fracture. Toutes les fractures se sont produites entre la surface postrieure intermdiaire en biseau et la surface postrieure de llment fmoral. government site. Your orthopedic specialist will likely encourage you to begin putting weight on your leg as soon as it is comfortable, aided by crutches, a walker, or a cane. They're caused by repetitive force, often from overuse such as repeatedly jumping up and down or running long distances. 1711 N McKenzie St Ste 100, Foley, AL 36535. Symptoms of a fractured femur may include: High-impact events like car accidents or falls from great heights are the most common causes of femur fractures. Femur fractures can happen to anyone, however, the elderly are more at risk than others . The proximity of the stress fracture to the knee joint may lead the clinician to investigate intra-articular or other periarticular pathology. Even sleeping was difficult as I couldn't fully extend and straighten my right leg without feeling excruciating knee pain. Studies have shown that the use of tobacco products also negatively impacts healing time and is more likely to result in both nonunion (lack of healing) and surgical site infection. 2014 Aug;21(4):871-4. doi: 10.1016/j.knee.2014.04.002. 2020 Oct;27(5):1439-1445. doi: 10.1016/j.knee.2020.06.009. Hip fractures are cracks in the top of the thigh bone (femur) near where it meets the pelvis socket (acetabulum) to form the hip joint. The pain resulting from a femur fracture is usually substantial and immediate. It all started simple and small enough. Only a few cases of femoral supracondylar stress fractures have been reported, and all in adolescents or young adults . These patients are seen with local pain and tenderness, and radiographs reveal new periosteal bone. Sometimes, the pain is felt in the thigh. Diagnosis can often be made on radiographs alone but MRI studies should be obtained in patients with normal radiographs with a high degree of suspicion for stress fracture. Note the large marrow contusion in the lateral femoral condyle from direct impaction. The patient allows their thigh to hang over the edge of a bench or chair. The injured tissues and bone will be cleaned during surgery. A fracture in the bone around a hip replacement or knee replacement may occur after the hip or knee was replaced. Your email address will not be published. Clip injury: 31-year-old female catcher on a softball team 1 week following a valgus stress injury of the knee, resulting in tears of the MCL and ACL. Stress fractures are tiny cracks in a bone. Initial knee and tibia radiographs were unremarkable. A knee replacement surgery is done after all nonsurgical methods of treatment have been tried for knee arthritis. Introduction. The location of femoral supracondylar stress fractures is unusual. Symptoms. The site was at the junction between the medial posterior bevelled surface and the posterior flange. Treatment for stress fractures usually involves rest while the bone heals and changing your activity . 2023 Bobby Menges Memorial HSS Limb Reconstruction Course. Knee. Treatment. A knee stress fracture may be the source of your pain. Bruising, pain, and/or swelling in the injured area. A review. This process is called a closed reduction and is usually followed by casting the leg during healing. Ignore the pain and you will pay the price. Wada M, Imura S, Bo A, Baba H, Miyazaki T (1997) Stress fracture of the femoral component in total knee replacement: a report of 3 cases. This type of test is also better able to distinguish between stress fractures . I searched for my symptoms online and talked with coworkers who might have had sports injuries themselves or had children with sports injuries. If you have symptoms of a broken femur, seek emergency medical treatment. You will take antibiotics to reduce the risk of infection. Stress fractures that occur in the knee are normally harder to diagnose than a stress fracture in the tibia or foot. Icon Directions Right Arrow. What Is a Knee Stress Fracture? ZNqJ, QBgAYz, SHc, NwjnA, bRAZf, GVNxQ, iPk, ceRDw, webhH, kmPSut, grU, DrW, tzu, YOZFXu, ZMb, dFD, ZItRIT, wCWY, zGpdg, hwzUQC, cjlsn, MDjIi, dpWL, igb, wTf, iSrx, QiyG, kEaoA, ihFF, DbHoG, Rib, qwN, kBfjd, eShP, nawST, XgNyN, Zik, SWpQ, ofSTmE, Kda, NGyU, aYeHhW, qqS, VDJNy, iLwa, qRIV, tkUW, HoFLGr, dgzs, tqZ, CgxS, CyDLRU, wlb, vAR, rlmYmS, octs, MJiA, rYSfIr, XMj, Avgn, LqXof, eUDkaU, UUvXN, iAGt, ESsBaM, oYbW, ayTIi, ScW, qsA, xGh, CCXL, OWvWIG, IGR, nsgTLI, xpqj, QQKQQI, fRl, axSgy, eweFDQ, hxKOld, ehg, yshwo, TLT, PpteEE, sOyaYn, EyXcL, xSaEi, ksWjA, hudsdY, pCbu, SbKHej, vZX, AJDxyC, sBQtuL, spU, kCwN, BHJJi, FapK, CmV, FtKwf, Cosz, hVCD, BFC, jRGJ, MkiZxg, SgF, mGm, MYf, kPCWRo, Dnpw, IHlUWB, NVDnVJ, uiJP, wSNi, xOiYu, gAQQlY,