A Displaced Femoral Neck Stress Fracture in an Amenorrheic Adolescent Female Runner

Sports Health

Volumn 4, Issue 4, 2012, Pages 352-356

  Goolsby, Marci A ^a   Barrack, Michelle T ^b   Nattiv, Aurelia ^b  

^a HOSPITAL FOR SPECIAL SURGERY   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

bone mineral density; cross country; female athlete triad; hip fracture; low energy availability; menstrual dysfunction

Indexed keywords

EID: 84863314351     PISSN: 19417381     EISSN: 19410921     Source Type: Journal    
DOI: 10.1177/1941738111429929     Document Type: Article

References (36)

1. Bachrach LK,Ward LM.Clinical review 1: bisphosphonate use in childhood osteoporosis.J Clin Endocrinol Metab. 2009;94 (2): 400-409.
2. Barrack MT,Rauh MJ,Nichols JF.Cross-sectional evidence of suppressed bone mineral accrual among female adolescent runners.J Bone Miner Res. 2010;25 (8): 1850-1857.
3. Barrack MT,Rauh MJ,Nichols JF.Prevalence of and traits associated with low BMD among female adolescent runners.Med Sci Sports Exerc. 2008;40 (12): 2015-2021.
4. Barrack MT,Van Loan MD,Rauh MJ,Nichols JF.Physiologic and behavioral indicators of energy deficiency in female adolescent runners with elevated bone turnover.Am J Clin Nutr. 2010;92 (3): 652-659.
5. Beals KA,Hill AK.The prevalence of disordered eating, menstrual dysfunction, and low bone mineral density among US collegiate athletes.Int J Sport Nutr Exerc Metab. 2006;16 (1): 1-23.
6. Bennell K,Matheson G,Meeuwisse W,Brukner P.Risk factors for stress fractures.Sports Med. 1999;28 (2): 91-122.
7. Bennell KL,Malcolm SA,Thomas SA, et al.Risk factors for stress fractures in track and field athletes: a twelve-month prospective study.Am J Sports Med. 1996;24 (6): 810-818.
8. Chan JL,Mantzoros CS.Role of leptin in energy-deprivation states: normal human physiology and clinical implications for hypothalamic amenorrhoea and anorexia nervosa.Lancet. 2005;366 (9479): 74-85.
9. De Souza MJ,West SL,Jamal SA,Hawker GA,Gundberg CM,Williams NI.The presence of both an energy deficiency and estrogen deficiency exacerbate alterations of bone metabolism in exercising women.Bone. 2008;43 (1): 140-148.
10. Fullerton LR.Femoral neck stress fractures.Sports Med. 1990;9 (3): 192-197.
11. Golden NH,Lanzkowsky L,Schebendach J,Palestro CJ,Jacobson MS,Shenker IR.The effect of estrogen-progestin treatment on bone mineral density in anorexia nervosa.J Pediatr Adolesc Gynecol. 2002;15 (3): 135-143.
12. Haddad FS,Bann S,Hill RA,Jones DH.Displaced stress fracture of the femoral neck in an active amenorrhoeic adolescent.Br J Sports Med. 1997;31 (1): 70-72.
13. Heaney RP.Calcium, dairy products and osteoporosis.J Am Coll Nutr. 2000;19 (2): 83S-99S.
14. Heaney RP,Abrams S,Dawson-Hughes B, et al.Peak bone mass.Osteoporos Int. 2000;11 (12): 985-1009.
15. Hilton LK,Loucks AB.Low energy availability, not exercise stress, suppresses the diurnal rhythm of leptin in healthy young women.Am J Physiol Endocrinol Metab. 2000;278 (1): E43-E49.
16. Ihle R,Loucks AB.Dose-response relationships between energy availability and bone turnover in young exercising women.J Bone Miner Res. 2004;19 (8): 1231-1240.
17. Jackson RD,Donepudi S,Mysiw WJ.Epidemiology of fracture risk in the Women's Health Initiative.Curr Osteoporos Rep. 2008;6 (4): 155-161.
18. Johansson C,Ekenman I,Tornkvist H,Eriksson E.Stress fractures of the femoral neck in athletes: the consequence of a delay in diagnosis.Am J Sports Med. 1990;18 (5): 524-528.
19. Kelsey JL,Bachrach LK,Procter-Gray E, et al.Risk factors for stress fracture among young female cross-country runners.Med Sci Sports Exerc. 2007;39 (9): 1457-1463.
20. Klibanski A,Biller BM,Schoenfeld DA,Herzog DB,Saxe VC.The effects of estrogen administration on trabecular bone loss in young women with anorexia nervosa.J Clin Endocrinol Metab. 1995;80 (3): 898-904.
21. Leslie WD,Pahlavan PS,Tsang JF,Lix LM.Prediction of hip and other osteoporotic fractures from hip geometry in a large clinical cohort.Osteoporos Int. 2009;20 (10): 1767-1774.
22. Licata A.Bone density vs bone quality: what's a clinician to do?.Cleve Clin J Med. 2009;76 (6): 331-336.
23. Loucks AB,Thuma JR.Luteinizing hormone pulsatility is disrupted at a threshold of energy avialability in regularly menstruating women.J Clin Endocrinol Metab. 2003 (88): 297-311.
24. Loucks AB,Verdun M,Heath EM.Low energy availability, not stress of exercise, alters LH pulsatility in exercising women.J Appl Physiol. 1998;84 (1): 37-46.
25. Matheson GO,Clement DB,McKenzie DC,Taunton JE,Lloyd-Smith DR,MacIntyre JG.Stress fractures in athletes: a study of 320 cases.Am J Sports Med. 1987;15 (1): 46-58.
26. Munoz MT,Morande G,Garcia-Centenera JA,Hervas F,Pozo J,Argente J.The effects of estrogen administration on bone mineral density in adolescents with anorexia nervosa.Eur J Endocrinol. 2002;146 (1): 45-50.
27. Myburgh KH,Hutchins J,Fataar AB,Hough SF,Noakes TD.Low bone density is an etiologic factor for stress fractures in athletes.Ann Intern Med. 1990;113 (10): 754-759.
28. Nattiv A.Stress fractures and bone health in track and field athletes.J Sci Med Sport. 2000;3 (3): 268-279.
29. Nattiv A,Loucks AB,Manore MM,Sanborn CF,Sundgot-Borgen J,Warren MP.American College of Sports Medicine position stand: the female athlete triad.Med Sci Sports Exerc. 2007;39 (10): 1867-1882.
30. Okamoto S,Arai Y,Hara K,Tsuzihara T,Kubo T.A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: a case report.Sports Med Arthrosc Rehabil Ther Technol. 2010;2:6.
31. Rauch F,Plotkin H,DiMeglio L, et al.Fracture prediction and the definition of osteoporosis in children and adolescents: the ISCD 2007 Pediatric Official Positions.J Clin Densitom. 2008;11 (1): 22-28.
32. Simonelli C,Adler RA,Blake GM, et al.Dual-energy x-ray absorptiometry technical issues: the 2007 ISCD official positions.J Clin Densitom. 2008;11 (1): 109-122.
33. Sullivan D,Warren RF,Pavlov H,Kelman G.Stress fractures in 51 runners.Clin Orthop Relat Res. 1984;187:188-192.
34. Sundgot-Borgen J,Torstveit MK.Prevalence of eating disorders in elite athletes is higher than in the general population.Clin J Sport Med. 2004;14 (1): 25-32.
35. Taylor JG,Bushinsky DA.Calcium and phosphorus homeostasis.Blood Purif. 2009;27 (4): 387-394.
36. Weaver CM.Adolescence: the period of dramatic bone growth.Endocrine. 2002;17 (1): 43-48.