stress fracture fulcrum test

rum ham wrote:

my groin hurts when i foam roll the top of my hamstring and when i dangle my leg while sitting. and when i run, obviously. the pain radiates into my quad and hip flexor, my piriformis hurts too. I have taken 10 days off and walking around feels better, but it doesn’t seem like i’ll be running anytime soon. is there any non-stress fracture reason for a positive “fulcrum test”?

I had a stress fracture in my femur. I never did the fulcrum test, but I hear that is very accurate. Not sure if it could be positive for something else. Have you tried the hop test? That’s another good indicator, however, the fulcrum is supposed to be the much better test.

Your symptoms do sound worrisome. But, I will tell you, I had no discomfort foam rolling. My only symptom was sharp pain, that felt deep, on impact when running. Other than that, was totally normal. You should really get it looked at by an orthopedist.

hop test doesn't produce pain consistently, just an ache in the groin. hoping this is a good sign but will see a real doctor this week. appreciate the reply. PS what kind of cross training can you do with a femoral sfx?

Mine was a short, sharp pain. I caught it early, And it was a stress reaction , with no pain walking,. Because of this, I was able to swim after a week, then biked at two weeks. I started elliptical at four weeks.I was back jogging at 9 weeks. It’s so important to catch this injury early. The prognosis and recovery is much different.

If your groin hurts, it wouldn't be a femoral stress fracture, but a femoral NECK stress fracture, which is one you definitely don't wanna mess with,

But for what it's worth, I had a femoral stress fx (in the shaft, not the neck, but very high up towards the neck), and I passed the fulcrum test with flying colors. I hear it's only really accurate for distal femoral stress fractures. Hop test also not as accurate for a more proximal fracture (only really good for feet, lower legs).

Could be psoas strain. Or rec fem. I'd look at one of the hip flexors. But if there's no pain with passive movement, then I'd be more concerned about bone. If it's muscular/tendon, you should have symptoms with non-weight bearing movements as well (drawing leg to chest, for example).

Good luck.

pain in the... wrote:

If your groin hurts, it wouldn't be a femoral stress fracture, but a femoral NECK stress fracture, which is one you definitely don't wanna mess with,

But for what it's worth, I had a femoral stress fx (in the shaft, not the neck, but very high up towards the neck), and I passed the fulcrum test with flying colors. I hear it's only really accurate for distal femoral stress fractures. Hop test also not as accurate for a more proximal fracture (only really good for feet, lower legs).

Could be psoas strain. Or rec fem. I'd look at one of the hip flexors. But if there's no pain with passive movement, then I'd be more concerned about bone. If it's muscular/tendon, you should have symptoms with non-weight bearing movements as well (drawing leg to chest, for example).

Good luck.

My stress fx was high in the femur and I did have pain in the groin when I hopped or ran.

He is right regarding the difference between muscular and bone injury, in most cases. I had no symptoms with non-weight bearing movements.