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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2023; 11(28): 6733-6743
Published online Oct 6, 2023. doi: 10.12998/wjcc.v11.i28.6733
Published online Oct 6, 2023. doi: 10.12998/wjcc.v11.i28.6733
Subchondral fatigue fracture of the femoral head in young military recruits: Potential risk factors
Jun-Zheng Yang, The Fifth Clinical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
Peng Chen, Department of Orthopaedics, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
Bai-Hao Chen, First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
Bin Zhao, Department of Sports Medicine, the Fourth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
Author contributions: Yang JZ and Chen P prepared the manuscript; Chen P and Zhao B collected the clinical data; Yang JZ and Chen BH analyzed the clinical data and prepared the tables and figures; Zhao B revised the manuscript.
Institutional review board statement: This study was approved by the Ethics Review Board of PLA General Hospital, which waived the need to obtain written informed consent (No. 2019-019-01).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have nothing to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bin Zhao, MD, PhD, Surgeon, Department of Sports Medicine, the Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing 100048, China. zhao7202bin@163.com
Received: July 25, 2023
Peer-review started: July 25, 2023
First decision: August 16, 2023
Revised: August 20, 2023
Accepted: September 11, 2023
Article in press: September 11, 2023
Published online: October 6, 2023
Processing time: 62 Days and 10.3 Hours
Peer-review started: July 25, 2023
First decision: August 16, 2023
Revised: August 20, 2023
Accepted: September 11, 2023
Article in press: September 11, 2023
Published online: October 6, 2023
Processing time: 62 Days and 10.3 Hours
Core Tip
Core Tip: Our findings indicate that a small anterior acetabular sector angle (AASA) indicates poor anterior coverage of the femoral head and can increase the risk of subchondral fatigue fracture of the femoral head (SFFFH) in young patients. Since patients with a history of intense military training may be at higher risk for SFFFH, early detection and appropriate management are crucial to prevent further deterioration of the femoral head and preserve joint function. Based on these findings, we, therefore, recommend orthopedic surgeons not to exclude the possibility of SFFFH in patients who present with hip pain and have a history of intense military training, particularly if they have a small AASA.