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Indicadores clínicos utilizados para identificar las lesiones por estrés óseo en el cuello femoral: una revisión de

Samuel Ellestad¹, Joshua Bryant¹, McKenna Wilson¹

¹Department of Army-Baylor Programs, Army-Baylor Doctor of Physical Therapy Program, United States Army Medical Center of Excellence, Fort Sam Houston, TX 78234, United States.

Military medicine

|September 4, 2025

Resumen

Las lesiones por estrés en el hueso del cuello femoral (FNBSI) en los soldados a menudo se indican por una mayor actividad física y dolor en la cadera o la ingle. Esta revisión resume los hallazgos clínicos para mejorar el diagnóstico de FNBSI y orientar la investigación futura.

Área de la Ciencia:

La ortopedia
Medicina militar
Medicina del deporte

Sus antecedentes:

Las lesiones por estrés en los huesos del cuello femoral (FNBSI) son frecuentes en los reclutas militares, con altas tasas de incidencia.
El diagnóstico preciso es crucial para la intervención oportuna y la prevención de nuevas lesiones.

Objetivo del estudio:

Para llevar a cabo una revisión de alcance de los hallazgos clínicos indicativos de FNBSI.
Informar la toma de decisiones clínicas e identificar las lagunas de investigación en el diagnóstico de FNBSI.

Principales métodos:

Búsqueda sistemática de artículos sobre el diagnóstico clínico de la FNBSI utilizando medidas subjetivas u objetivas.
Incluir los estudios de caso, los estudios de cohorte y las revisiones sistemáticas; excluir los estudios no en inglés, sobre cadáveres, basados en intervenciones, pediátricos o no relacionados con lesiones.

Principales resultados:

Los informes de casos fueron el tipo de publicación más común (58%), seguidos de los estudios de cohorte (38%) y las revisiones sistemáticas (4%).
Los indicadores clínicos comunes identificados incluyen antecedentes de aumento de la actividad física y aparición insidiosa de dolor en la cadera o en la ingle.

Conclusiones:

Los indicadores clínicos identificados pueden ayudar a los médicos en el diagnóstico de FNBSI.
Esta revisión pone de relieve la necesidad de utilizar adecuadamente las imágenes de diagnóstico en el diagnóstico de FNBSI.

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