Hi everyone
Has anyone seen a stress fracture of the femoral shaft in a runner?
I have a patient who has just run the marathon in London and who is c/o pain in the medial aspect of her thigh, about mid-shaft of the femur. Very painful when she sits on the edge of her chair so that it directly presses on the offending bit, pain on weightbearing especially when she presses down on her toes _ unfortunately she is an aerobics teacher.
O/E her back has a few odd bits and pieces but nothing that I can directly relate to the pain in her leg; ANT tests negative; resisted movements OK, hjp & SIJ OK, neck OK (!!! Kevin), flexibility fine, soft tissues feel similar to the other side.
I suspect stress # though I've never come across it before in a femur. Any ideas? - aside from waiting 3 weeks and getting an x-ray.
Thanks in advance
Sophie Dhenin
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