• Participants underwent HRpQCT scans of the distal radius and DXA scans of the proximal femur and lateral spine. (springer.com)
  • Materials and Methods Pre-procedure computed tomography (CT) data of 19 canine cadaveric hips were used to design a cadaver-specific 3D-PDG that conformed to the proximal femur. (thieme-connect.com)
  • Early radiographic findings are osteopenia and growth disturbance of the proximal femur and the acetabulum, which in young children can result in coxa magna with a short, wide femoral neck and varus deformity. (sogacot.org)
  • Legg-CalvĂ©-Perthes disease (LCPD) is a childhood hip disorder initiated by a disruption of blood flow to the head of the femur. (wikipedia.org)
  • In this condition, the head of the femur loses some of its blood supply and dies. (mountainview-hospital.com)
  • Gross dissection revealed the bone tunnel exited the fovea capitis inside (3/19), partially inside (12/19) and outside of (4/19) the ligament of the head of the femur. (thieme-connect.com)
  • Client suffered serious injuries, including right femur fracture, right ankle fracture, bilateral rib fractures and pulmonary contusion. (minguslawoffice.com)
  • The following conditions each represent 1 percent or more of diagnostic radiology claims: subarachnoid hemorrhage, malignant neoplasm of colon, malignant neoplasm of pancreas, cerebral thrombosis with infarction, acute cerebrovascular accident (CVA), cerebral aneurysm, pelvis fracture, ankle fracture, and intracranial abscess. (thedoctors.com)
  • [ 4-6 ] A series of decisions must be made before proceeding with definitive diaphyseal femur fracture fixation, including patient positioning, surgical approach, and implant type. (medscape.com)
  • Numerous techniques for treatment of anterior cruciate ligament (ACL) avulsion fractures have been described in literature from closed reduction to definitive fixation, both open and arthroscopically assisted fixation. (sjosm.org)
  • The present study demonstrated arthroscopic suture bridge fixation as a successful surgical intervention procedure for treatment of ACL avulsion fractures. (sjosm.org)
  • This stock medical exhibit features illustrations of the pre-operative condition and the post-operative external surgical fixation of bilateral tibial plateau (knee) fractures. (doereport.com)
  • The advantages of this approach include both minimal soft tissue invasion and improved quality of the osteochondroplasty by direct visualization on femoral head and neck that would otherwise only be obtained with surgical dislocation [ 19 ]. (biomedcentral.com)
  • Fracture or dislocation may cause osteonecrosis by grossly disrupting or compressing nearby blood vessels. (msdmanuals.com)
  • Clinical examination revealed an unreduced right hip dislocation, fracture deformities of both the thighs, an open wound over lower third of right thigh with bruising and swelling, and an open wound over anterior right leg. (jocr.co.in)
  • Trauma series X-rays were taken along with a computed tomography angiogram (Fig. 1) which revealed a segmental fracture of the right femur with anteroinferior dislocation of the hip, fracture of superior iliopubic rami, with obliteration of the femoral artery at the distal femur and a shaft femur fracture of the left thigh. (jocr.co.in)
  • We hypothesised that combining bone microarchitectural parameters, geometry, BMD and FEA estimates of bone strength from HRpQCT may improve discrimination of fragility fractures. (springer.com)
  • Conclusion: Most of the patients who sustain hip fracture have associated underlying osteoporosis, which if not treated can result in further fragility fractures. (org.pk)
  • CONCLUSION: A femoral neck fracture may occur in a person with epilepsy presenting with hip pain in the emergency department. (bvsalud.org)
  • Given that 1.1 to 2.9 million diaphyseal femur fractures occur each year, an emphasis has been placed on the efficient and effective management of diaphyseal femur fractures to maximize good patient outcomes. (medscape.com)
  • Intraoperative femoral fractures occur in 3.0%-5.4% of primary THA and in 19.0%-20.9% of revision THA procedures [ 6 , 7 , 9 , 10 ]. (sicot-j.org)
  • Hip Fractures Hip fractures may occur in the head, neck, or area between or below the trochanters (prominences) of the femur. (msdmanuals.com)
  • Again, many easily missed subtle fractures occur here where femoral condyles can impact/overload tibial bone. (teamrads.com)
  • The force applied is not sufficient to reduce the fracture but enough to maintain an alignment and decrease the complications associated with femur shaft fracture. (scielo.org.za)
  • Open femur fractures in children: treatment, complications, and results. (uchicago.edu)
  • Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
  • Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
  • [5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
  • Late complications - occurring a long time after the fracture. (wikipedia.org)
  • Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)
  • Skeletal scintigraphy is generally recognized as the gold standard in the evaluation of suspected stress injuries because of its high sensitivity for stress fracture detection and its ability to show abnormalities in bone metabolism well before they are manifested radiographically ( 1 ). (snmjournals.org)
  • Auto Accident - Our client suffered injuries to neck tissues and structures including herniated disc at C5-6. (autoaccident.com)
  • He sustained bilateral lower limb injuries. (jocr.co.in)
  • Stress fractures are common injuries in both professional and recreational runners. (sjosm.org)
  • Exclusion criteria were: ipsilateral fracture of the lower limb, neck and supracondylar femur fractures, pathological, periprosthetic and incomplete fractures. (scielo.org.za)
  • Use of a traction splint in the presence of other ipsilateral fractures in the leg will cause the weaker fracture site to pull apart and not the targeted femur fracture. (scielo.org.za)
  • and the displacement of unrecognized fractures, including ipsilateral femoral neck fractures. (medscape.com)
  • Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)
  • How reliable is classification of tibial plateau fractures? (mcmaster.ca)
  • Pelvis radiography showed generalised osteopenia along with a bilateral femur neck fracture (figure 1). (bmj.com)
  • An 83-year-old female patient, with a low functional demand, Alzheimer's disease and a history of pelvic and proximal humeral fractures due to osteopenia. (researchsquare.com)
  • An anteroposterior pelvic radiograph obtained on a subsequent visit demonstrated osteopenia of the femoral head and neck with diffuse cortical thinning (Fig. 2). (jbjs.org)
  • An anteroposterior pelvic radiograph demonstrated osteopenia of the left femoral head and neck (Fig. 6). (jbjs.org)
  • [1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
  • Analysis of postoperative knee sepsis after retrograde nail insertion of open femoral shaft fractures. (uchicago.edu)
  • Intraoperative assessment for associated femoral neck fractures and postoperative clinical examination of the hip and knee are imperative to the successful management of diaphyseal femur fractures. (medscape.com)
  • However, some people have been able to play doubles tennis with bilateral knee replacements. (mountainview-hospital.com)
  • We are presenting a case report of a 30-year-old male, who had previously underwent an above-knee amputation due to road-traffic accident, presenting 24 h after the injury with segmental fracture femur and popliteal artery laceration, for which the limb could not be salvaged. (jocr.co.in)
  • He sustained segmental fracture of femur with popliteal artery laceration, for which an above-knee amputation was done. (jocr.co.in)
  • In cam-type lesion, the non-spherical, bumped anterosuperior femoral head-neck junction pressurized and squeezed the cartilage adjacent to the acetabular labrum repetitively during deep hip flexion. (biomedcentral.com)
  • In comparison, earlier hip pain could be noticed in pincer-type FAI because the labrum lesions resulted from the impingement of a retroverted or overcovered acetabular margin against the femoral neck are often antecedent and more dominant [ 7 ]. (biomedcentral.com)
  • Radiographs demonstrate abnormal pelvis with small square iliac wings, horizontal acetabular roofs, and narrowing of the greater sciatic notch, an oval translucent area at the proximal ends of the femora, caudal narrowing of the interpedicular distances in the lumbar region, short pedicles, and lumbar lordosis. (medscape.com)
  • In older children, premature closure of the femoral and acetabular growth plates can result in retarded growth with a hypoplastic femoral neck and a dysplastic acetabulum. (sogacot.org)
  • 4. No evidence of acute displaced fracture of the lumbar spine or the pelvis. (diseasepdf.com)
  • Although measurements of areal bone mineral density (aBMD) of the hip or spine is considered the gold-standard for assessing fracture risk [ 1 ], it is widely recognised that there are limitations to only using DXA to determine bone fragility. (springer.com)
  • If you have chronic back or neck pain, our spine care program may be able to help. (mountainview-hospital.com)
  • Radiographs depict epiphyseal stipplings on the proximal humerus, both ends of the femora, and lower spine. (medscape.com)
  • Additionally, she sustained an endplate compression fracture of her thoracic spine. (autoaccident.com)
  • Damage to adjacent structures such as nerves, muscles or blood vessels, spinal cord, and nerve roots (for spine fractures), or cranial contents (for skull fractures) may cause other specific signs and symptoms. (wikipedia.org)
  • It reduces the incidence of spine fracture by 33% in groups receiving 200 IU/day. (medscape.com)
  • Bilateral Intracapsular Hip Fracture in a Patient With Low Functional Demand Treated With a One-stage Bilateral Hemiarthroplasties. (researchsquare.com)
  • We present an 83-year-old woman with severe osteoporosis who had a simultaneous bilateral intracapsular hip fracture. (researchsquare.com)
  • The anteroposterior pelvic radiograph showed a displaced intracapsular fracture of both hips (Fig. 1). (researchsquare.com)
  • Also a known case of chronic kidney disease (CKD), he had sustained bilateral transcervical intracapsular neck femur fractures, which is sparingly described in orthopedic literature - to simplify fractures on both the hips. (zydushospitals.com)
  • osteonecrosis is uncommon after intertrochanteric fractures. (msdmanuals.com)
  • We present an atypical case of bilateral FNF in an 83-year-old patient secondary to a low-energy trauma and resolved in a single-stage. (researchsquare.com)
  • To measure the compliance of our prehospital service and trauma unit with international guidelines relating to the early application of the Thomas splint in patients with a femur shaft fracture on clinical examination. (scielo.org.za)
  • Only 37.5% of patients presenting to our trauma unit with a femur shaft fracture have a Thomas splint applied before radiological examinations are performed. (scielo.org.za)
  • Diaphyseal femur fractures, which commonly result from a high-energy mechanism of injury, may be isolated or associated with multisystem trauma. (medscape.com)
  • Trabecular pattern - cancellous bone: condyles, PLATEAU: 'hand-drawn graph paper" of trabecular bone-- subtle focal smearing or deformity of that 'graph paper' can be subtle trauma or stress fracture. (teamrads.com)
  • Fracture history was determined by self-report and vertebral fracture assessment. (springer.com)
  • In postmenopausal women Prolia significantly reduces the risk of vertebral, non-vertebral and hip fractures. (pillintrip.com)
  • In men with prostate cancer receiving hormone ablation, Prolia significantly reduces the risk of vertebral fractures. (pillintrip.com)
  • It reduces the incidence of vertebral fractures by 47% and nonvertebral fractures by 50% over 3 years. (medscape.com)
  • It reduces vertebral fractures by 41% and nonvertebral fractures by 39% over 3 years. (medscape.com)
  • Ibandronate increases BMD and reduces the incidence of vertebral fractures. (medscape.com)
  • We included all patients with femur shaft fractures independently of their mechanism of injury. (scielo.org.za)
  • Other reference modalities and clinical examinations are required in patients with bilateral diaphyseal femur fractures. (medscape.com)
  • Adverse events on intraoperative fracture and subsidence were significantly less common in patients with Pattern A than in those with Pattern B (six of 42 hips with Pattern A and 13 of 29 hips with Pattern B, p = 0.004). (sicot-j.org)
  • These fractures are most common among older patients, particularly those with. (msdmanuals.com)
  • There were abnormalities of the feet in 30 patients (focal uptake in 26 patients, diffuse uptake in 10 patients), the tibia in 13 patients (2 focal uptake, 11 diffuse uptake), and the femur in 2 patients (both with diffuse uptake). (snmjournals.org)
  • Material and Methods: We scanned 68 patients randomly with Sahara Clinical Bone Sonometer from Orthopedic Department of Hayatabad Medical Complex Peshawar with low energy hip fracture in male and females of age 30 and above. (org.pk)
  • Results: Out of total sixty eight patients with fracture of the hip, 52 were female and 16 were male. (org.pk)
  • Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. (researchgate.net)
  • For patients at low-risk for fracture, consider drug discontinuation after 3 to 5 years of use. (nih.gov)
  • It inhibits osteoclastic bone resorption and has some analgesic effects in patients with fractures. (medscape.com)
  • The present retrospective study includes 31 patients with documented ACL avulsion fractures between 2008 and 2015. (sjosm.org)
  • All patients were assessed with a preoperative magnetic resonance imaging to confirm the fracture. (sjosm.org)
  • Surgical Irrigation of Open Fractures--A Change in Practice? (uchicago.edu)
  • The traction splint for a femur shaft fracture is an orthopaedic device made of a metallic frame that extends from the proximal thigh to an area distal to the heel ( Figure 1 ). (scielo.org.za)
  • The biopsy revealed normal bone marrow and no evidence of osteomyelitis, osteonecrosis, fracture, or malignancy. (jbjs.org)
  • Some have suggested that all otherwise unexplained lower extremity uptake abnormalities in physically active individuals represent stress fractures ( 2 , 3 ). (snmjournals.org)
  • Recent changes in the training regimen, prior injury, and running or training on hard terrain, such as trail running, are among additional considerations when evaluating runners with stress fractures. (sjosm.org)
  • Radiographs show short, thick, ribbonlike long bones with multiple fractures and callus formation at all sites (ribs, long bones). (medscape.com)
  • My xrays were consistent with that of an atypical femur fracture most likely caused by Prolia. (breastcancer.org)
  • Atypical Femur Fractures have been reported. (nih.gov)
  • there is normal marrow signal intensity in the left femoral head and neck. (jbjs.org)
  • Follow-up MRI demonstrated a return of normal bone marrow signal intensity in the right femoral head and neck (Figs. 3-A and 3-B). A follow-up anteroposterior pelvic radiograph showed remineralization of the proximal aspect of the right femur (Fig. 4). (jbjs.org)
  • MRI of the pelvis demonstrated signal abnormalities on short tau inversion recovery (STIR) images indicative of bone marrow edema involving the left femoral head and neck and an associated small joint effusion. (jbjs.org)
  • 8 Berzon JL, Howard PE, Covell SJ, Trotter EJ, Dueland R. A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats. (thieme-connect.com)
  • CASE SUMMARY: A 17-year-old immobile, developmentally delayed male with the sequelae of cerebral palsy fractured both femoral necks during a grand mal epileptic seizure. (bvsalud.org)
  • James injured his shoulder and neck in the accident, including a bulging disc at C7-T1. (minguslawoffice.com)
  • He was declared totally disabled and this settlement includes a $60,000 payment from the Second Injury Fund and there was also a Medicare Set Aside Account funded by the employer to cover future medical treatment for his neck and shoulder injury. (minguslawoffice.com)
  • High-resolution peripheral quantitative computed tomography (HRpQCT) is increasingly used for exploring associations between bone microarchitectural and finite element analysis (FEA) parameters and fracture. (springer.com)
  • Crackles were heard in bilateral lower lung fields on exam and there was tenderness to palpation of his right proximal thigh with intact active and passive range of motion. (acponline.org)
  • Although surgeons must perform sufficiently firm implantation without fracturing the femur, assessment of the appropriate force and stem stability is usually left to the surgeon's intuitive judgement. (sicot-j.org)
  • however, overzealous implantation can cause femur fractures [ 7 , 11 ], whereas inadequate force can result in postoperative subsidence. (sicot-j.org)
  • Regular Army Medical Officer Meurice Sinclair (1878-1966) revolutionised the management and treatment of gunshot fractures with his system of traction added to the Thomas splint. (scielo.org.za)
  • Both fractures were classified as Garden type 4 ( 8 ), and a single-stage bilateral hemiarthroplasty was indicated. (researchsquare.com)
  • Post-convulsive bilateral fracture neck femur is very rarely described (mostly around 10 cases in international literature), but managing it by cemented hemiarthroplasty in single sitting is very rare and is not described in available Indian orthopedic literature. (zydushospitals.com)
  • Bilateral Perthes, which means both hips are affected, should always be investigated to rule out multiple epiphyseal dysplasia. (wikipedia.org)
  • Cluster analysis of these parameters was then performed to identify phenotypes associated with fracture prevalence. (springer.com)
  • The prevalence of fracture extension in displaced femoral neck fractures in the elderly: A pilot study. (ucdavis.edu)
  • During the Gulf conflict (1990-1991) Rowlands stated that the reduction and stabilisation of the fracture reduced further soft tissue lesions and facilitated transport/evacuation of the patient. (scielo.org.za)
  • Reduction of diaphyseal femur fractures should be attained in the least invasive manner, via percutaneous reduction techniques, if possible, to preserve fracture biology and promote successful fracture healing. (medscape.com)
  • Achieving and maintaining adequate fracture reduction is critical to prevent nonunion and malunion, which result in substantial disability-adjusted life-year burden. (medscape.com)
  • it has no effects on reduction of nonvertebral fractures. (medscape.com)
  • Although no research data support the idea that the use of intranasal calcitonin reduces the incidence of fractures, studies do show an increase in BMD with the use of calcitonin. (medscape.com)
  • A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
  • In 71 THAs, we quantified the sound produced during stem insertion and investigated the relationship between these sounds and the occurrence of intraoperative fracture and subsidence. (sicot-j.org)
  • Intraoperative fractures often require additional osteosynthesis procedures. (sicot-j.org)
  • Because of the worsening clinical presentation and abnormal imaging studies, along with an ongoing concern for underlying neoplasm, a core biopsy of the proximal aspect of the right femur was performed. (jbjs.org)
  • To fully prepare for successful surgical management of diaphyseal femur fractures, surgeons must consider appropriate patient positioning and necessary tools, including surgical tables, traction devices, and instruments. (medscape.com)
  • High-pressure pulsatile lavage irrigation of fresh intraarticular fractures: effectiveness at removing particulate matter from bone. (uchicago.edu)
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
  • Radiographs demonstrate thin flattened vertebrae, short ribs, small sacrosciatic notch, extremely short long tubular bones, and markedly short and curved femora (telephone receiver-like appearance). (medscape.com)
  • The second cluster in women had greater trabecular separation, lower trabecular volumetric density and lower trabecular load with an increase in fracture rate compared to lowest risk cluster (1.93 [0.98, 3.78], p = 0.057). (springer.com)
  • One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)