Fracture Healing
Hip Fractures
Fracture Fixation, Intramedullary
Fracture Fixation, Internal
Bone Nails
Femoral Neck Fractures
Fracture Fixation
Periprosthetic Fractures
Bone Plates
Traction
The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed)
Fractures, Spontaneous
Osteoporotic Fractures
Bony Callus
Fractures, Stress
Fractures due to the strain caused by repetitive exercise. They are thought to arise from a combination of MUSCLE FATIGUE and bone failure, and occur in situations where BONE REMODELING predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK.
Insurance, Long-Term Care
Skull Fractures
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
Internal Fixators
Casts, Surgical
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
Leg Length Inequality
Prosthesis Failure
Bone Wires
Postoperative Complications
Treatment Outcome
Reoperation
Osteoporosis
Range of Motion, Articular
Bone Density Conservation Agents
Fractures, Compression
Retrospective Studies
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Bone Cements
Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.
Alendronate
Bone Density
The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.
Orbital Fractures
Surgical Procedures, Minimally Invasive
Colles' Fracture
Prospective Studies
Recovery of Function
Orthopedics
Embolism, Fat
Follow-Up Studies
Fractures, Open
Orthopedic Procedures
Injury Severity Score
Diphosphonates
Organic compounds which contain P-C-P bonds, where P stands for phosphonates or phosphonic acids. These compounds affect calcium metabolism. They inhibit ectopic calcification and slow down bone resorption and bone turnover. Technetium complexes of diphosphonates have been used successfully as bone scanning agents.
Biomechanical Phenomena
Accidents, Traffic
Hip Joint
Weight-Bearing
External Fixators
Incidence
Age Factors
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Osteoporosis, Postmenopausal
Risk Factors
Thoracic Vertebrae
Intraoperative Complications
Rotation
Clavicle
Pelvic Bones
Contralateral fracture of the proximal femur. Implications for planning trials. (1/858)
In three consecutive years 462 patients over the age of 60 years presented at Waikato Hospital, Hamilton, New Zealand, with a fracture of the proximal femur. Within two years, 11 (2.4%) returned with a fracture of the contralateral femur. If the effectiveness of any form of treatment aiming at reducing the incidence of contralateral fracture were subjected to a trial, a sample size of 5000, randomly distributed equally between treatment and placebo groups, would be needed for the trial to have a power of 80% to detect a reduction. (+info)Femur osteomyelitis due to a mixed fungal infection in a previously healthy man. (2/858)
We describe a previously healthy, 22-year-old man who, after a closed fracture of the femur and subsequent operation, developed chronic osteomyelitis. Within a few days, infected bone fragments, bone, and wound drainage repeatedly yielded three different filamentous fungi: Aspergillus fumigatus, Aspergillus flavus, and Chalara ellisii. Histologic examination of the bone revealed septate hyphae. After sequential necrotomies of the femur and irrigation-suction drainage with added antimycotic therapy, the infection ceased and the fracture healed. This case is unique in that it is the only known instance in which a long bone was affected in an immunocompetent individual, with no evidence of any systemic infection, by a mixed population of two different Aspergillus spp. and the rare filamentous fungus C. ellisii. Environmental factors that could potentiate the infection include blood and edema fluid resulting from the surgical procedure and the presence of the osteosynthetic plate. (+info)Malunion in the lower limb. A nomogram to predict the effects of osteotomy. (3/858)
Nomograms derived from mathematical analysis indicate that the level of malunion is the most important determinant of changes in the moment arm of the knee, the plane of the ankle and alterations in limb length. Testing in five patients undergoing reconstruction showed a mean error of postoperative limb length of 2.2 mm (SD 0.8 mm), knee moment arm of 4.7 mm (SD 3.3 mm) and ankle angle of 2.6 degrees (SD 2.3 degrees). These nomograms provide the information required when assessing whether a particular degree of angulation may be accepted. (+info)Stimulation of the inflammatory system by reamed and unreamed nailing of femoral fractures. An analysis of the second hit. (4/858)
It has been suggested that reamed intramedullary nailing of the femur should be avoided in some patients with multiple injuries. We have studied prospectively the effect of femoral reaming on the inflammatory process as implicated in the pathogenesis of acute respiratory distress syndrome (ARDS) and multiple-organ failure (MOF). We studied changes in the levels of serum interleukin-6 (IL-6) (proinflammatory cytokine), neutrophil CD11b (C3) receptor expression (activated neutrophil adhesion molecule), serum soluble intracellular adhesion molecule (s-ICAM-1), serum soluble E-selectin (the soluble products of endothelial adhesion molecules) and plasma elastase (neutrophil protease) in a series of patients with femoral fractures treated by nailing. We have also compared reamed nailing with unreamed nailing. We found that the levels of serum IL-6 and elastase rose significantly during the nailing procedure indicating a measurable 'second hit'. There was no clear response in leukocyte activation and no difference in the release of endothelial adhesion molecule markers. There was no significant difference between groups treated by reamed and unreamed nailing. Although clinically unremarkable, the one patient who died from ARDS was shown to be hyperstimulated after injury and again after nailing, suggesting the importance of an excessive inflammatory reaction in the pathogenesis of these serious problems. Our findings have shown that there is a second hit associated with femoral nailing and suggest that the degree of the inflammatory reaction may be important in the pathogenesis of ARDS and MOF. (+info)Spontaneous healing of an atrophic pseudoarthrosis during femoral lengthening. A case report with six-year follow-up. (5/858)
A seven-year old girl developed an atrophic pseudoarthrosis at the midshaft of the femur with 8.5 cm of femoral shortening after an open type II fracture. During a femoral lengthening procedure, the pseudoarthrosis filled with spontaneous callus formation and bone union was obtained. (+info)Comparison of quantitative ultrasound in the human calcaneus with mechanical failure loads of the hip and spine. (6/858)
OBJECTIVE: Quantitative ultrasound of the calcaneus is used clinically for evaluating bone fracture risk, but its association with the mechanical properties at other skeletal sites is not well characterized. The objective was therefore to determine its predictive ability of the mechanical failure loads of the proximal femur and lumbar spine. METHOD: In 45 human cadavers (29 males and 16 females, aged 82.5 +/- 9.6 years), we determined the speed of sound, broadband ultrasonic attenuation (BUA) and the empirical stiffness index, using a commercial quantitative ultrasound scanner. The proximal femora and the fourth vertebral body were excised and loaded to failure in a testing machine. RESULTS: Femoral failure loads ranged from 933 to 7000 N and those of the vertebrae from 1000 to 7867 N, their correlation being 0.51 in females and -0.08 in males. Forty percent of the variability of femoral, but only 24% of the variability of the vertebral fracture loads could be predicted with calcaneal speed of sound. In the femur, a combination of speed of sound and BUA improved the prediction (r2 = 50-60%), but not in the spine. CONCLUSIONS: The study provides experimental evidence that calcaneal quantitative ultrasound is capable of predicting mechanical failure at other skeletal sites and has potential to identify patients at risk from osteoporotic fracture. The different association of quantitative ultrasound with femoral and vertebral failure may result from the influence of the cortical bone and a higher microstructure-related similarity of the calcaneus and the femur. (+info)Correction of genu recurvatum by the Ilizarov method. (7/858)
The Ilizarov apparatus was used to carry out opening-wedge callotasis of the proximal tibia in ten patients who had suffered premature asymmetrical closure of the proximal tibial physis and subsequent genu recurvatum. In four knees, the genu recurvatum was entirely due to osseous deformity, whereas in six it was associated with capsuloligamentous abnormality. Preoperatively, the angle of recurvatum averaged 19.6 degrees (15 to 26), the angle of tilt of the tibial plateau, 76.6 degrees (62 to 90), and the ipsilateral limb shortening, 2.7 cm (0.5 to 8.7). The average time for correction was 49 days (23 to 85). The average duration of external fixation was 150 days (88 to 210). Three patients suffered complications including patella infera, pin-track infection and transient peroneal nerve palsy. At a mean follow-up of 4.4 years, all patients, except one, had achieved an excellent or good radiological and functional outcome. (+info)Transcranial doppler detection of fat emboli. (8/858)
BACKGROUND AND PURPOSE: The fat embolism syndrome (FES) is characterized by the simultaneous occurrence of pulmonary and neurological symptoms as well as skin and mucosal petechiae in the setting of long-bone fractures or their surgical repair. Its pathophysiology is poorly understood, and effective treatments are lacking. We present 5 patients with long-bone fractures in whom in vivo microembolism was detected by transcranial Doppler. METHODS: Five patients with long-bone fractures were monitored with transcranial Doppler for microembolic signals (MESs) after trauma. Two patients also had intraoperative monitoring. A TC-2020 instrument equipped with MES detection software was used. Detected signals were saved for subsequent review. Selected signals satisfied criteria defined previously and were categorized as large or small. RESULTS: Cerebral microembolism was detected in all 5 patients and was transient, resolving within 4 days of injury. Intraoperative monitoring revealed an increase in MESs during intramedullary nail insertion. The characteristics of MESs after injury varied among patients, with large signals being more frequent in the only patient with a patent foramen ovale. CONCLUSIONS: Cerebral microembolism after long-bone fractures can be detected in vivo and monitored over time. These findings may have potential diagnostic and therapeutic implications. (+info)Surgical outcome of intramedullary nailing in patients with complete atypical femoral fracture: A multicenter retrospective...
National data of 6409 Swedish inpatients with femoral shaft fractures : stable incidence between 1998 and 2004
Injuries Associated with Femoral Shaft Fractures with Special Emphasis on Occult Injuries
Recurrence of bilateral atypical femoral fractures associated with the sequential use of teriparatide and denosumab: A case...
Treatment of Pediatric Open Femoral Fractures with External Fixator Versus Flexible Intramedullary Nails
Role of Bone Tissue Material Properties in Atypical Femoral Fractures - Mary Bouxsein
ICD-10-CM Code M84.754S - Complete transverse atypical femoral fracture, right leg, sequela
ASBMR Updates Report on Atypical Femoral Fractures: Discussion with Task Force Co-chairs Elizabeth Shane, M.D. and David Burr,...
Treatment of open proximal femoral fractures sustained in combat<...
Internal fixation of femoral shaft fractures in children by intramedullary Kirschner wires (a prospective study): its...
Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Lateral fixation : an alternative surgical approach in the prevention of complete atypical femoral fractures.
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Lirias: A plate osteosynthesis for femoral shaft fractures in adults
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Atypical femoral fractures after anti-osteoporotic medication: a Korean multicenter study | springermedizin.de
Comment on Compston : pathophysiology of atypical femoral fractures and osteonecrosis of the jaw
ICD-10 Diagnosis Code M84.752S Incomplete atypical femoral fracture, left leg, sequela
2021 ICD-10-CM Diagnosis Code M84.753D: Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for...
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Similar failure rates found with short, long cephalomedullary implants
Extramedulläre Osteosynthesen distaler Femurfrakturen
Merck Files Petition to Consolidate Fosamax Femur Fracture Lawsuits
Single-Leg Spica Cast Effective for Child Femoral Fractures - MPR
Vigorous Endosteal Reaming across Fracture Site to Aid Union in Atypical Femur Fractures
A Case Report of an Incidental Neck of Femur Fracture | Journal of Orthopaedic Case Reports
Routine early post-operative X-ray following internal fixation of intertrochanteric femoral fractures is unjustified: a quality...
Femur Fractures, Open Reduction and Internal Fixation, Timing of - Update - Practice Management Guideline
https://www.thefreelibrary.com/Functional+outcome+of+orif+of+distal+femur+fracture+with...-a0467656303
Femur Fracture
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SP II Model Lubinus - LINK
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PREPRINT RELEASE: Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for GSW Femoral Fracture | JOMI News
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Closed Cephalomedullary Nailing of Subtrochanteric Hip Fracture
Increased Risk of Periprosthetic Femur Fractures Associated With a Unique Cementless Stem Design<...
Survivorship After Periprosthetic Femur Fracture: Factors Affecting Outcome<...
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Fat Embolism Syndrome After Femur Fracture With Intramedullary Nailing: Case Report | American Journal of Critical Care |...
Periprosthetic fractures of the humerus<...
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Early operative intervention is associated with better patient survival in patients with intracapsular femur fractures but not...
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CT-measurement predicts shortening of stable intertrochanteric hip fractures<...
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Biblio | Institut für Robotik und Prozessinformatik
March | 2015 | IKK signal
Left femur | ArchéoZoothèque
Femoral fracture
Fractures are commonly obvious, since femoral fractures are often caused by high energy trauma. Signs of fracture include ... because femoral neck fractures can lead to osteonecrosis of the femoral head. The fracture may be classed as open, which occurs ... pathologic fractures due to osteoporosis, low-energy falls). In Germany, femoral fractures are the most common type of fracture ... A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car ...
Femoral neck
... Posterior view. *"Prevention and Management of Hip Fracture on Older People. Section 7: Surgical ... "Subtrochanteric Hip Fractures". Retrieved 2017-04-25. Updated: Jun 22, 2016 Area of femoral neck fractures: Page 333 in: Paul ... A fracture of the femoral neck is classified as a type of hip fracture. It is often due to osteoporosis; in the vast majority ... The femoral neck (femur neck or neck of the femur) is a flattened pyramidal process of bone, connecting the femoral head with ...
Pauwel's angle
Introduced in 1935, this system was the first biomechanical classification for femoral neck fractures, and is still in use. An ... Joshua Blomberg (3 July 2014). "Femoral Neck Fractures". Orthobullets. Archived from the original on 5 August 2020. Retrieved ... Pauwel's angle is the angle between the line of a fracture of the neck of the femur and the horizontal as seen on an anterio- ... increasing angle leads to a more unstable fracture and an increase in the shear stress at the fracture site. This shear leads ...
Hip fracture
Green's Fractures in Adults. pp. 1579-1586. Wikimedia Commons has media related to Hip fractures. Fractures of the Femoral Neck ... Femoral head fractures are a rare kind of hip fracture that may also be the result of a fall but are more commonly caused by ... This treatment can also be offered for displaced fractures after the fracture has been reduced.[citation needed] Fractures ... "Fractures of the femoral neck (31-B)". OA Foundation. Archived from the original on 27 April 2017., citing: Rüedi TP, Buckley ...
List of orthopedic implants
... fractures of femur Ender's nail for fixing intertrochanteric fracture Grosse-Kempf nail for tibial or femoral shaft fracture ... Carstensen JP, Noer HH (1998). "[Medial migration of a Hansson hook-pin after femoral neck fracture]". Ugeskr Laeger. 160 (36 ... Walters, Johan; Schepherd-Wilson, William; Lyons, Timothy; Close, Roger (1990). "Femoral shaft fractures treated by Ender nails ... a hook-pin used for fractures of the femoral neck Harrington rod for fixation of the spine Hartshill rectangle for fixation of ...
Early appropriate care
"Early versus delayed stabilization of femoral fractures. A prospective randomized study". J Bone Joint Surg Am. 71 (3): 336-340 ... EAC prescribes that definitive management of unstable axial skeleton and long bone fractures should only be undertaken within ... when studies showed early definitive fixation of long bone fractures lead to better outcomes, with a reduction in incidence of ... "External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage ...
AO Foundation
"AO/OTA classification of proximal femoral fractures , Radiology Reference Article , Radiopaedia.org". Radiopaedia. Retrieved 12 ... A Revolution in Fracture Care, 1950s-1990s". The Journal of Bone and Joint Surgery, American Volume. 85 (3): 588. doi:10.2106/ ... "The History of the treatment by extension of fractures of long bones". Digital Commons at UNMC. University of Nebraska Medical ... It consisted primarily on reducing fractures and stabilizing them with splints and plaster, followed by traction. By the time ...
Evans-Jensen classification
Femoral fracture Kenneth Koval; Joseph Zuckerman (2000). Hip Fractures: A Practical Guide to Management. Springer Science & ... The Evans-Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of ... v t e (Hip fracture classifications, All stub articles, Orthopedics stubs). ...
G-arm medical imaging
Strömqvist, B.; Hansson, L. I.; Nilsson, L. T.; Thorngren, K. G. (1984-10-01). "Two-year follow-up of femoral neck fractures. ... Killian, J. T.; Conklin, M. J.; Kramer, T.; White, S. (1999-01-01). "Improved percutaneous slipped capital femoral epiphysis ... "Simultaneous biplanar fluoroscopy for the surgical treatment of slipped capital femoral epiphysis". Journal of Pediatric ...
Natalia Pavlovna Paley
Doctors diagnosed a fracture of the femoral neck. She was transported to Roosevelt Hospital where, against the advice of her ...
Hip spica cast
Hip spicas were formerly common in reducing femoral fractures. Spica casts are used for treating hip dysplasia (developmental ... It is used to facilitate healing of injured hip joints or of fractured femurs. A hip spica includes the trunk of the body and ...
Hypophosphatasia
Coe JD, Murphy WA, Whyte MP (September 1986). "Management of femoral fractures and pseudofractures in adult hypophosphatasia". ... "Adult-onset hypophosphatasia diagnosed following bilateral atypical femoral fractures in a 55-year-old woman". Clinical Cases ... One case report details a 35-year old female with low serum ALP and mild pains but no history of rickets, fractures or dental ... Bony deformities and fractures are complicated by the lack of mineralization and impaired skeletal growth in these patients. ...
Continental Giant rabbit
... s are more likely to suffer femoral fractures and it is hypothesized to be caused from a weakness of ... Femoral condylar fractures in four continental giant breed rabbits. Journal of Small Animal Practice. doi:10.1111/jsap.13417. v ...
Local anesthetic nerve block
Fascia iliaca block is indicated for pain relief for hip fractures in adults and femoral fractures in children. It works by ... 3-in-1 nerve block is indicated for pain relief for hip fractures. The femoral nerve block is indicated for femur, anterior ... "Nerve blocks for initial pain management of femoral fractures in children". Cochrane Database of Systematic Reviews (12): ... lateral femoral cutaneous, femoral, and obturator nerves. Since the plexus is located deep, there is an increased risk of local ...
Alendronic acid
Bone: alendronate has been linked in long-term users to the development of low-impact femoral fractures. Further, studies ... Lenart BA, Lorich DG, Lane JM (March 2008). "Atypical fractures of the femoral diaphysis in postmenopausal women taking ... Fosamax has been linked to a rare type of leg fracture that cuts straight across the upper thigh bone after little or no trauma ... Kwek EB, Goh SK, Koh JS, Png MA, Howe TS (February 2008). "An emerging pattern of subtrochanteric stress fractures: a long-term ...
Fascia iliaca block
Chesters, A; Atkinson, P (October 2014). "Fascia iliaca block for pain relief from proximal femoral fracture in the emergency ... and by non-medical practitioners FIC can be used to offer pain relief for hip fractures in adults and femoral fractures in ... "Nerve blocks for initial pain management of femoral fractures in children". Cochrane Database of Systematic Reviews (12): ... Femoral nerve block Lidocaine Mallinson, Tom (2019). "Fascia iliaca compartment block: a short how-to guide". Journal of ...
Trendelenburg gait
Fracture, (or non-union) of the femoral neck. Coxa Vara (the angle between the femoral neck head and shaft is less than 120 ...
Stress fracture
Superior femoral neck stress fractures, if left untreated, can progress to become complete fractures with avascular necrosis, ... Stress fractures can be described as small cracks in the bone, or hairline fractures. Stress fractures of the foot are ... When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the ... A stress fracture is a fatigue-induced bone fracture caused by repeated stress over time. Instead of resulting from a single ...
Urostealith
Renal Fat Embolization and Urostealith Formation Complicating Femoral Fracture. Journal of the American Medical Association, ...
Ricardo Fort
Just days before, he had suffered a femoral fracture in Miami, Florida. "Eccentric actor, businessman Ricardo Fort dies at 45 ...
Lateral condyle of femur
The most common injury to the lateral femoral condyle is an osteochondral fracture combined with a patellar dislocation. The ... "Lateral femoral condyle osteochondral fracture combined to patellar dislocation: A case report". Orthopaedics & Traumatology: ... For a Type B1 partial articular fracture of the lateral condyle, interfragmentary lag screws are used to secure the bone back ... Typically, the condyle will fracture (and the patella may dislocate) as a result of severe impaction from activities such as ...
Seinsheimer classification
Femoral fracture Seinsheimer, F. "Subtrochanteric fractures of the femur." The Journal of Bone and Joint Surgery 60.3 (1978): ... They noted that "Earlier studies of pertrochanteric [sic] and femoral neck fractures show that the use of classification ... classification is a system of categorizing subtrochanteric hip fractures based on the fracture pattern of the proximal femoral ... In the published work, fifty-six patients were treated for subtrochanteric fractures, and their fractures were "classified ...
Tuberosity of the tibia
Tibial tuberosity fractures are infrequent fractures, most common in adolescents. In running and jumping movements, extreme ... These quadriceps muscles are innervated by the femoral nerve. The tibial tuberosity thus forms the terminal part of the large ... However, if the fracture fragment is displaced, then surgery is necessary to allow for normal function. Tenderness in the ... 1], KneeHipPain (1998) Cipriano (2002), p 356 Lau & Ramachandran (2006) "Tibial Tubercle Fractures". Archived from the original ...
Occult fracture
Moreover, pregnancy is a well-recognized risk factor for femoral neck fatigue fracture. While fibular and metatarsal fractures ... as in scaphoid fracture). Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to ... the risk of insufficiency fracture. Pelvic, sacral, and proximal femoral fractures are of increasing significance especially ... In a bony region with a high proportion of cancellous bone (e.g., femoral neck), a fatigue fracture appears as an ill-defined ...
Birth injury
"Birth-related femoral fracture in newborns: risk factors and management". Journal of Children's Orthopaedics. 6 (3): 177-180. ... Bone fractures can occur during a difficult delivery. Fracture of the clavicle is the most common birth injury. Meconium is a ... "Newborn Clavicle Fractures". Nationwide Children's. Nationwide Children's Hospital. Retrieved 13 December 2017. "Meconium ...
Pathologic fracture
... rare cases of knee insufficiency fracture in non-weight-bearing femoral condyle". Clinical Imaging. 58: 80-83. doi:10.1016/j. ... There are three fracture sites said to be typical of fragility fractures: vertebral fractures, fractures of the neck of the ... Pathological fractures present as a chalkstick fracture in long bones, and appear as a transverse fractures nearly 90 degrees ... Fragility fracture is a type of pathologic fracture that occurs as a result of an injury that would be insufficient to cause ...
John Chalmers (surgeon)
210 Fractures of the Femoral Neck in Elderly Patients with hyperparathyroidism. Clinical Orthopaedics 229 (1988), 125-130 ...
Hip dislocation
Of note, femoral neck fractures, femoral head fractures, and incarcerated fracture fragments preventing joint reduction are ... when associated with femoral head fractures). Anterior dislocations is when the femoral head lies anteriorly after dislocation ... Fractures of the femoral head and other loose bodies should be determined prior to reduction. ... Femoral head fractures accompany 10% of posterior dislocations and 25-75% of anterior dislocations. Lastly, recurrent ...
Tibial plateau fracture
May be caused by a valgus force combined with axial loading that leads to the lateral femoral condyle being driven into the ... Tibial plateau fractures may be divided into low energy or high energy fractures. Low energy fractures are commonly seen in ... The fracture pattern of the condyles is variable and all types of fractures can occur. This is a high energy injury with a ... Approximately half of the people who sustain a tibial plateau fracture are aged over 50 years old. "Fractures of the Proximal ...
Traction (orthopedics)
It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. Skin traction rarely causes ... Dunlop's traction - humeral fractures in children Russell's traction Although the use of traction has decreased over the years ... fracture reduction, but reduces pain and maintains the length of the bone. ...
Posterior cruciate ligament
It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch then stretches, at a ... These include cartilage/meniscus injuries, bone bruises, ACL tears, fractures, posterolateral injuries and collateral ligament ...
Percutaneous pulmonary valve implantation
The majority of stent fractures are diagnosed by routine imaging and are not clinically relevant. Stent fractures leading to ... The heart is typically reached by passing through the femoral vein, jugular vein, or subclavian vein. A balloon dilation test ... More severe fractures may require surgery. Risk factors for stent fractures include younger age, smaller tract diameter, and ... Stent fractures can be prevented by using pre-stenting, using a bare metal stent before PPVI. After the valve is implanted, ...
Slipped capital femoral epiphysis
SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be ... Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is ... Slipped Capital Femoral Epiphysis at eMedicine Kaneshiro, Neil. "Slipped capital femoral epiphysis". U.S. National Library of ... femoral neck). Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral ...
Canelo Álvarez
... team threw in the towel due to Saunders having suffered a fractured orbital bone as a result of an uppercut landed by Álvarez. ... "I share that today I had to undergo an arthroscopic surgery to repair the internal femoral cartilage and eliminate a ...
Malignant infantile osteopetrosis
... shaped appearance known as an Erlenmeyer flask deformity Alternating radiolucent femoral metaphyseal bands Pathologic fractures ... Failure of remodeling of the distal femoral and proximal humeral metaphyses giving the affected bones a funnel ...
PBS Velká Bíteš
"Comparison of Mechanical Properties and Fracture Behaviour of Co-Base and Ni-Base Alloys - available online" (PDF). "Femoral ... Femoral components (10 various types of cobalt-based knee replacements). "Czech Business Register". "Regional Online Magazine ... spinner disks for insulation wool and femoral components), cryogenic technology (helium expansion turbines, compressors and ...
Spontaneous osteonecrosis of the knee
The presence of radiolucent area in the epiphyseal region and flattening of the femoral condyle can be found in late stages of ... and tibial plateau fracture. SONK usually has a sudden onset of knee pain, while osteoarthritis has a progressive, gradual ... Spontaneous osteonecrosis of the knee is the result of vascular arterial insufficiency to the medial femoral condyle of the ...
Dulcie Mary Pillers
138: Fracture Dislocations of the Upper End of the Humerus". The Lancet. London. 206 (5323): 512-1054. doi:10.1016/S0140-6736( ... April 1923). "A Note on the Operation for the Radical Cure of Femoral Hernia". British Journal of Surgery. London: John Wright ... January 1922) [1916]. On Modern Methods of Treating Fractures (2nd ed.). New York: William Wood and Company. pp. 1-435. hdl: ... Hey Groves experimented with grafts and pins to stabilise the fractures and used medical illustrators to record the operations ...
Cerebral palsy
These children generally have fractures in the legs, whereas non-affected children mostly fracture their arms in the context of ... Advanced degrees of hip migration or dislocation can be managed by more extensive procedures such as femoral and pelvic ... National Institute for Health and Care Excellence (UK). Mughal, M. Zulf (26 June 2014). "Fractures in Children with Cerebral ... Children with CP are prone to low trauma fractures, particularly children with higher Gross Motor Function Classification ...
Dysbaric osteonecrosis
This process takes place over months to years and eventually causes disabling arthritis, particularly of the femoral head (hip ... Symptomatic lesions usually involve joint surfaces, and fracture where attempted healing occurs. ... in the femoral head (hip), 40% in the lower end of the femur (lower thigh at the knee) and 15% in the upper tibia (knee below ... Divers who have suffered from DON are at increased risk of future fracture of a juxta-articular lesion during a dive, and may ...
Munjed Al Muderis
... limited incision plating technique in management of clavicle fracture and describing new patterns of distal clavicle fractures ... TIRR Memorial Hermann Journal "Osseointegration: A New Solution for Trans-femoral Limb-loss Patients". TIRR Memorial Hermann ... This article by Al Muderis describes the seriousness of missing to diagnose radial head fractures and properly treat them. ... Arthroscopically assisted fixation of the lesser trochanter fracture: a case series. This paper presents the first three cases ...
Anterior cruciate ligament reconstruction
Increased wound pain Increased scar formation Risk of fracturing the patella during harvesting of the graft Increased risk of ... and Anterolateral Ligament Reconstruction With Quadriceps Tendon Autograft and Gracilis Allograft Through a Single Femoral ...
Colles' fracture
... such as a slipped capital femoral epiphysis in the hip. This is a Salter I or II fracture with the deforming forces directed ... Colles fracture is a common fracture in people with osteoporosis, second only to vertebral fractures.[citation needed] ... A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. ... The term Colles fracture is classically used to describe a fracture at the distal end of the radius, at its cortico-cancellous ...
2007 Washington Redskins season
The Redskins lost right tackle Jon Jansen for the year when he fractured his ankle in the second quarter. GameBook at Lincoln ... critically wounding him by severing his femoral artery. His girlfriend tried to call the police from the house line, but ...
Astley Cooper
In 1808 he tried the same with the external iliac artery for a femoral aneurysm and in 1817 he ligated the aorta for an iliac ... Dislocations and Fractures (1822); Lectures on Surgery (1824-1827); Illustrations of Diseases of the Breast (1829); Anatomy of ...
Interventional radiology
Sacral insufficiency fractures are an infrequent but often disabling cause of severe low back pain. At times, the pain can be ... The interventional radiologist gains access through a large vein in the groin, called the femoral vein, by using a small ... Sacral insufficiency fractures result from an axial loading mechanism on abnormal bone, such as osteoporosis or underlying ... When possible, these catheters are placed in the right internal jugular vein, but the left internal jugular and femoral veins ...
Jeremy Lamb
... and a lateral femoral condylar fracture during an 81-127 blowout loss to the Toronto Raptors hosted on February 23. This injury ...
Taylor Spatial Frame
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after ... Patil S, Montgomery R (2006). "Management of complex tibial and femoral nonunion using the Ilizarov technique, and its cost ... This is particularly relevant for open fractures. For open comminuted fractures of the tibial plateau the use of circular ... For simpler fractures where no deformity is present the struts may still be adjusted post-surgery to achieve better bone ...
Lameness (equine)
However, fractures and septic synovial structures (such as an infected joint pouch or tendon sheath) can also cause non-weight ... Suprascapular nerve damage will lead to atrophy of the main muscles of the shoulder (sweeny). Femoral nerve paralysis causes ... For example, racehorses are more likely to have fatigue-related injuries such as stress fractures and injury to the flexor ... Hind limb lameness or pelvic fracture can cause unilateral atrophy of the middle gluteal or gracilis muscles. Damage to the ...
Kobi Peleg
2015). "Time to Surgery is Associated with Thirty-day and Ninety-day Mortality after Proximal Femoral Fracture: A Retrospective ... "Different reimbursement influences surviving of hip fracture in elderly patients". Injury. 42 (2): 128-132. doi:10.1016/j. ... Observational Study on Prospectively Collected Data from the Danish Fracture Database Collaborators". The Journal of Bone and ... an innovative research that explored different reimbursement methods to influence higher survivability among hip fracture ...
Deep vein thrombosis
An ultrasound with a blood clot visible in the left common femoral vein. (The common femoral vein is distal to the external ... Minor injuries, lower limb amputation, hip fracture, and long bone fractures are also risks. In orthopedic surgery, venous ... DVT most frequently affects veins in the leg or pelvis including the popliteal vein (behind the knee), femoral vein (of the ... Iliofemoral DVT has been described as involving either the iliac or common femoral vein; elsewhere, it has been defined as ...
Limp
Slipped capital femoral epiphysis (SCFE) is a condition in which the growth plate of the head of the femur slips over the ... Accidental or deliberate physical trauma may result in either a fracture, muscle bruising, or a contusion. It is the leading ... Other important causes are infectious arthritis, osteomyelitis, and slipped capital femoral epiphysis in children.[citation ... such as septic arthritis or slipped capital femoral epiphysis, may be present. The diagnostic approach involves ruling out ...
Hip pain
Scintigraphy (A), sagittal T1 (B), and coronal PD fat sat of a patient with a subchondral fracture of the femoral head with ... Femoral torsion is the angle between a line along the femoral head and neck axis and a second line that is touching the ... Flattening of the femoral head in a patient with Perthes disease. Step in the femoral head-neck junction in a patient with SCFE ... These fractures were diagnosed by bone marrow edema and a low signal fracture line, mainly on T1 or T2 weighted images (Figure ...
Browsing by Subject "Femoral Neck Fractures"
Femoral Neck Stress Fracture Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase
These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which ... Stress fractures are a problem in various populations including runners and military trainees. ... eventually heals, or they may progress to a complete fracture that requires surgical fixation. ... encoded search term (Femoral Neck Stress Fracture) and Femoral Neck Stress Fracture What to Read Next on Medscape ...
Non Operative Treatment of Supracondylar Femoral Fractures : Wheeless' Textbook of Orthopaedics
Non Operative Treatment of Supracondylar Femoral Fractures. Non Operative Treatment of Supracondylar Femoral Fractures. - ... Supracondylar femoral fractures in the frail elderly. Fractures in need of treatment. ... few indications, except in elderly and osteoporotic patients w/ low energy extra-articular fractures;. - these fractures have a ...
Early Surgery in Femoral Neck Fractures in Elderly: Does Preoperative ASA Score Matter?
... has been recommended for femoral neck fractures in order to avoid complications and reduce mortality rate, regardless of ... be useful in order to better assess risk related factors of patients requiring surgical treatment for femoral neck fracture. ... There were 101 lateral fractures (30%) and 235 medial fractures (70%); 148 right fractures (44%) and 188 left fractures (56%). ... Yeoh, C.J.C. and Fazal, M.A. (2014) ASA Grade and Elderly Patients with Femoral Neck Fracture. Geriatric Orthopaedic Surgery & ...
SafetyLit: Fractures of the proximal femoral end in childhood (author's transl)
Anatomy Model Femoral Fracture
Fracture below the trochanters (subtrochanteric femoral fracture) - Femoral shaft fracture - Femoral head fracture - Fracture ... The following fractures are shown on the hip joint: - Medial femoral neck fracture - Lateral femoral neck fracture - Fracture ... Fracture or avulsion of the lesser trochanter (avulsion fracture of the lesser trochanter) Femoral fracture and hip ... Femoral Fracture Anatomy Model. (No reviews yet) Write a Review Write a Review. ...
Patient-reported outcomes of 7133 distal femoral, patellar, and proximal tibial fracture patients: A national cross-sectional...
... their ability to forget about the knee joint after knee fracture is compromised. We identified several important risk factors ... Although knee fracture patients have relatively high knee function and quality of life, ... Distal femoral fracture; EQ5D-5L; Forgotten Joint Score-12; Oxford Knee Score; Patellar fracture; Proximal tibial fracture. ... Comorbidity burden, distal femoral fracture, and treatment with external fixation and knee arthroplasty were risk factors for ...
Cancellous Screw Fixation for Femoral Neck Fractures: One Hundred and Sixteen Patients - Annals Singapore
... there has been an increase in the incidence of hip fractures from 1.17 per 1000 females ,60 years old in 1965 to 1.5 per 1000 ... The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age. With the increase in ... Cancellous Screw Fixation for Femoral Neck Fractures: One Hundred and Sixteen Patients. KBL Lee, TS Howe, HC Chang ... There were 104 (90%) cases of undisplaced (Garden 1 and 2) fractures and 12 (10%) displaced (Garden 3 and 4) fractures. The ...
Retrieval of fractured cemented femoral stems<...
Retrieval of fractured cemented femoral stems. In: Journal of Bone and Joint Surgery - Series A. 1989 ; Vol. 71, No. 6. pp. 918 ... Retrieval of fractured cemented femoral stems. Journal of Bone and Joint Surgery - Series A. 1989;71(6):918-919. doi: 10.2106/ ... title = "Retrieval of fractured cemented femoral stems",. author = "Welch, {R. B.} and McGann, {W. A.} and T. Floyd and Picetti ... Welch, R. B., McGann, W. A., Floyd, T., & Picetti, G. D. (1989). Retrieval of fractured cemented femoral stems. Journal of Bone ...
Femoral Periprosthetic Fracture Treatment Using the Ortho-Bridge System: A Biomechanical Study | Research Square
We undertook a comparative biomechanical study of type B1 fractures around the femoral prosthesis following cemented hip ... Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems: a biomechanical comparison of locked ... were used to fix a B1 fracture model with a femoral periprosthetic fracture. Axial compression and torsion experiments were ... Kang L, Liu H, Ding Z, Ding Y, Hu W, Wu J. Ipsilateral proximal and shaft femoral fractures treated with bridge-link type ...
Femoral Fracture: Cocoa - RPAW
Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? A...
Ipsilateral fractures of the femoral neck and shaft. - Post - Orthobullets
Thirty-one (94%) of the femoral shaft fractures healed primarily. In two patients, the shaft fracture failed to unite and was ... Ipsilateral fractures of the femoral neck and shaft.. Wiss DA Sima W Brien WW. ... Nailing Femoral Shaft Fractures: Starting Point Tips & Tricks - Anjan R. Shah, MD (CSOT #29, 2016) ... However, only 27 (82%) of the femoral neck fractures healed after initial fixation. In six patients (18%), a symptomatic varus ...
The inferomedial femoral neck is compromised by age but not disease: Fracture toughness and the multifactorial mechanisms...
... the bulk indentation and fracture resistance properties of the inferomedial femoral neck in osteoporotic fracture, severe OA ... In addition, osteoporosis or osteoarthritis do not seem to further influence fracture toughness of the inferomedial femoral ... The femoral neck, in close proximity to the most pertinent osteoporotic fracture site and near the hip joint affected by ... detects differences between cortical bone from the femoral neck of healthy, osteoporotic fractured and osteoarthritic hip ...
CME Activity | Femoral Shaft Fractures | MDs & PAs
Femoral shaft fractures are a common orthopedic injury occurring in high energy trauma or low energy trauma in the elderly. ... Femoral shaft fractures are frequently associated with other comorbidities necessitating a thorough trauma life support ... Outline the common complications of femoral shaft fracture treatment. *Explain the importance of improving care coordination ... among the interprofessional team to enhance the functional outcome for patients with femoral shaft fractures. ...
Incidence of femoral fractures in postmenopausal women. Before and after water fluoridation.
... ... Title : Incidence of femoral fractures in postmenopausal women. Before and after water fluoridation. Personal Author(s) : ... Incidence of femoral fractures in postmenopausal women. Before and after water fluoridation. ... Hospitalization for fractures and bone loss in adults. Why do we regard these phenomena as dull? Cite ...
Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture
During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment ... femoral nail hole. Chin J Traumatol. 2014; 17(1):50-3.. 11. Koval K, Zuckerman J. Hip fractures: a practical. guide to ... During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment ... "Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture". The Archives of Bone and ...
Femoral Neck Stress Fracture: Background, Epidemiology, Etiology
These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which ... Stress fractures are a problem in various populations including runners and military trainees. ... eventually heals, or they may progress to a complete fracture that requires surgical fixation. ... 3] Of those patients who develop stress fractures, about 5-10% of the fractures are in the femoral neck. [8] Stress fractures ...
SplintER: Persistent Left Groin Pain From Femoral Neck Stress Fracture
A review of the presentation and management of femoral neck stress fractures by Dr. Aimee Monahan, Dr. Brendan Parker, and Dr. ... Femoral neck stress fracture (FNSF). *Pearl: FNSF diagnosis is difficult because the physical exam is non-specific. Patients ... Pearl: There are two sites where the stress fracture can occur.*Compression side (inferior femoral neck) which is seen in this ... Tension side (superior femoral neck). These fractures are less common but require surgical fixation [1,2].*Orthopedics should ...
Early diagnosis of femoral neck stress fractures using MRI: A case report and review of the literature<...
keywords = "Avascular necrosis, Femoral head, Femoral neck, MRI, Stress fracture",. author = "Jean, {J. L.} and Tang, {H. L.} ... Early diagnosis of femoral neck stress fractures using MRI : A case report and review of the literature. / Jean, J. L.; Tang, H ... Early diagnosis of femoral neck stress fractures using MRI: A case report and review of the literature. Formosan Journal of ... Early diagnosis of femoral neck stress fractures using MRI : A case report and review of the literature. In: Formosan Journal ...
Femoral neck fracture
Subject: Femoral neck fracture Hello All, A female 40 y.o. transferred to us from elsewhere. Two weeks ago she stumbled at home ... Fracture treatment may also be more a function of the pathological entity than the fracture pattern. Osteopetrosis tarda seems ... With a pathological fracture primary emphasis should be on the pathological condition and secondary empahsis on the fracture ... Rather than a fatigue fracture, I would look for a pathological fracture and rule out either metastases or metabolic disease. ...
Atypical tensile-sided femoral neck stress fractures: The value of magnetic resonance imaging<...
keywords = "Athletic hip injuries, Fatigue fracture, Femoral neck stress fracture, Stress fracture, Tensile stress fracture", ... Atypical tensile-sided femoral neck stress fractures: The value of magnetic resonance imaging. American Journal of Sports ... Atypical tensile-sided femoral neck stress fractures : The value of magnetic resonance imaging. In: American Journal of Sports ... Atypical tensile-sided femoral neck stress fractures : The value of magnetic resonance imaging. / Provencher, Matthew T.; ...
femoral trochanteric fracture - Assisted Surgery
Tag: femoral trochanteric fracture. Accuracy analysis of CAS Stryker ADAPT® system for femoral trochanteric fracture using a ... Open access Accuracy analysis of computer-assisted surgery for femoral trochanteric fracture using a fluoroscopic navigation ... surgery system which intraoperatively shows the distance from the tip of the screw to the surface of the femoral head, tip-to- ...
Biomechanical Studies on Femoral Fracture Repair Fixed By Different Fixation Methods in Dogs | Mohamed Barakat
Incident of femoral fracture and screening of signs of depression in the elderly
MODESTO, Rosana Fortunato; NASCIMENTO, Edinalva Neves e GIMENIZ-PASCHOAL, Sandra Regina. Incident of femoral fracture and ... Femoral fractures in the elderly can cause physical, emotional, family and social problems. The objective of these studies was ... Palavras-chave : care for the elderly; femoral fractures; depression; comprehensive health care; accident prevention. ... We concluded that there was a high number of hospitalizations for hip fractures and signs of depression among the elderly, ...
Ibandronate Sodium Tablets: Package Insert / Prescribing Information - Drugs.com
Atypical Femoral Shaft Fracture. Atypical, low-energy, or low-trauma fractures of the femoral shaft (see WARNINGS AND ... Atypical Subtrochanteric and Diaphyseal Femoral Fractures. Atypical, low-energy, or low-trauma fractures of the femoral shaft ... 5. Unusual thigh bone fractures.. Some people have developed unusual fractures in their thigh bone. Symptoms of a fracture may ... These fractures can occur anywhere in the femoral shaft from just below the lesser trochanter to above the supracondylar flare ...
Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail<...
2004). Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. Journal of ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. In: ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. / Schipper ...
Treatment of Fracture proximal to the femoral component
Femoral Neck Fracture | Galine, Frye, Fitting & Frangos, LLP
Oakland Broken Femoral Neck Lawyers. A femoral neck fracture is a break of the bone just below the ball of the ball-and-socket ... San Mateo Femoral Neck Fracture Lawyers. Depending on the severity of the fracture, the age of the patient and the amount of ... If you or someone you love has suffered a femoral neck fracture, talk with one of the attorneys at the law firm of Galine, Frye ... This region of the bone is referred to as the femoral neck, and when a fracture occurs, the ball becomes disconnected from the ...
Completed femoral neckDisplaced femoral neck fracturesShaftComplicationsRight femoralSuspected femoral neck fractureProximal femoral nailMedialDistalType of fractureLesser trochanterOpen reductioHead fractureOsteoporosisElderlyCompressionOsteoporotic fractureOsteoarthritisLateralIpsilateralInternal fixationStressBone DensityTreatmentInjuriesAvascularVertebralOutcomeInjurySurgicalFemur neckPostmenopausal womenDiaphyseal fracturesTibialScrewLumbarTrochanteric fractureAssociated with bisphosphonateNailOsteosynthesisTraumaPatientsAcetabulumHigh risk of fractureSeverity of the fractureRisk for hip fractureSurgeryAtypical fracturesSubtrochantericIncidence of hip fractures
Completed femoral neck1
- Radiograph showing a tension-side, completed femoral neck stress fracture. (medscape.com)
Displaced femoral neck fractures2
- In cases of badly displaced femoral neck fractures, the decreased blood supply prevents these fractures from healing. (justinlareaumd.com)
- Factors associated with avascular necrosis of the femoral head and nonunion in patients younger than 65 years with displaced femoral neck fractures treated with reduction and internal fixation. (qxmd.com)
Shaft19
- Ipsilateral fractures of the femoral neck and shaft. (orthobullets.com)
- Thirty-three patients with ipsilateral intracapsular femoral neck and shaft fractures were treated with antegrade reamed intramedullary (IM) nails and cancellous screw fixation of the femoral neck. (orthobullets.com)
- The shaft fractures were fixed prior to definitive neck stabilization. (orthobullets.com)
- Thirty-one (94%) of the femoral shaft fractures healed primarily. (orthobullets.com)
- Closed reamed antegrade IM nailing with supplemental screw fixation of ipsilateral femoral neck and shaft fractures did not produce uniformly successful results because of high rates of varus nonunion of the femoral neck fracture. (orthobullets.com)
- Femoral shaft fractures are a common orthopedic injury occurring in high energy trauma or low energy trauma in the elderly. (statpearls.com)
- Femoral shaft fractures are frequently associated with other comorbidities necessitating a thorough trauma life support assessment and interdisciplinary care. (statpearls.com)
- Review the pathophysiology of femoral shaft fractures. (statpearls.com)
- Describe the workup of femoral shaft fractures. (statpearls.com)
- Outline the common complications of femoral shaft fracture treatment. (statpearls.com)
- Explain the importance of improving care coordination among the interprofessional team to enhance the functional outcome for patients with femoral shaft fractures. (statpearls.com)
- The femoral neck lies between the femoral head and femoral shaft, demarcated by the greater and lesser trochanters. (medscape.com)
- In Dr. Shane's editorial, she noted that compared with typical fractures of the hip that are prevented by bisphosphonates, atypical femoral shaft fractures are rare, accounting for 2% to 4% of all hip fractures. (medscape.com)
- The current study investigators indicate that several recent case reports and series have identified a subgroup of atypical fractures of the femoral shaft associated with bisphosphonate use. (medscape.com)
- Alendronate use is associated with low-energy femoral shaft fractures. (greenmedinfo.com)
- We performed intramedullary nailing for his femoral shaft fracture with an interlocking femoral nail made of stainless steel with fluted structure and roughened surface. (journalmc.org)
- Femoral neck length (NL) was defined as the distance from the cross point (B) of the shaft axis and central axis of the femoral neck (AC) to the head center (C) measured along the central axis of the femoral neck. (morethingsjapanese.com)
- A femoral shaft fracture is a break that occurs anywhere along the femoral shaft, long, straight part of the femur. (gosthemd.com)
- to compress the femoral in the adductor canal, pressure should be made laterally against the medial surface of the shaft of the femur. (co.ma)
Complications8
- Early surgical treatment (within 48 hours) has been recommended for femoral neck fractures in order to avoid complications and reduce mortality rate, regardless of presence and severity of comorbidity and preoperative status (ASA score). (scirp.org)
- X-rays for FNSF usually are not positive early in the course and if missed can lead to complications such as complete fracture, displacement, non-union, and avascular necrosis. (aliem.com)
- If the diagnosis is missed or delayed, displacement of the stress fracture may develop, and serious complications such as avascular necrosis of the femoral head, nonunion and varus deformity may occur. (elsevier.com)
- 2 Complications with intertrochanteric fractures arise primarily from fixation rather than union or delayed union because the intertrochanteric area is made of cancellous bones. (jojs.in)
- Femoral head fractures are rare injuries often associated with poor functional outcomes and complications . (bvsalud.org)
- The purpose of this study was to evaluate the incidence , treatment methods and approaches, complications , and functional outcomes of femoral head fractures. (bvsalud.org)
- In this study, we report the functional outcomes and complications of all treatment approaches for femoral head fracture based on the Pipkin classification . (bvsalud.org)
- However, the anterior approach does have some limitations, including difficulties preparing the femur, femur fractures, wound complications and injury to the sensory nerve on the front of the thigh. (craigdailypress.com)
Right femoral4
- A 20-year-old male soldier with a compression type stress fracture of the right femoral neck was presented. (elsevier.com)
- Twenty four (53.3%) patients had right femoral diaphyseal fracture. (bvsalud.org)
- What alpine adjective describes the appearance of the right femoral head and what is the cause? (bmj.com)
- Mixed osteolytic and blastic lesion right femoral condyles. (torontonotes.ca)
Suspected femoral neck fracture1
- Clinical image : adductor muscle strain in an elderly patient with suspected femoral neck fracture. (nii.ac.jp)
Proximal femoral nail3
- Retrieval of a broken guide wire transfixing the hip through the proximal femoral nail hole. (ac.ir)
- Among the various generations of cephalomedullary nails, proximal femoral nail antirotation II (PFN A-II) is specifically designed for Asian population, with helical blade, modified proximal diameter, and modified mediolateral angle. (jojs.in)
- The proximal femoral nail antirotation II (PFN A-II) utilizes a helical blade instead of the conventionally used two screws. (jojs.in)
Medial4
- One PTCS in the proximal neck functions as a sliding implant to provide dynamic compression during surgery, while two FTHCSs in the distal neck play the role of asymptotical sliding and as an "interosseous buttress" in the medial quadrant of the femoral neck postoperatively. (injuryjournal.com)
- A CT image showed fracture lines that radiated in three directions (posterior, medial, and lateral) and a narrow, newly formed intramedullary bone that was the same in configuration as the nail surface ( Fig. 4 ). (journalmc.org)
- Medial circumflex femoral artery so that the medical pro- factors as ed. (psm.edu)
- Deeper glands also are met with deep to the fascia cribrosa, close to the medial side of the femoral vein, and there is generally one in the femoral canal. (co.ma)
Distal5
- Comorbidity burden, distal femoral fracture, and treatment with external fixation and knee arthroplasty were risk factors for poor outcome at long-term follow-up, for all four PROMs. (nih.gov)
- For all hip and femur fractures, fracture records and radiographs (when available) were reviewed to identify femur fractures below the lesser trochanter (subtrochanteric fractures) and above the distal metaphyseal flare (diaphyseal fractures). (medscape.com)
- Fracture of the distal femur may involve the cartilaginous surface of the knee as well and result in arthritis. (gosthemd.com)
- A distal femur (top part of knee joint) fracture is a break in thighbone that occurs just above your knee joint. (gosthemd.com)
- With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment. (gosthemd.com)
Type of fracture7
- Surgical intervention is dependent on the type of fracture. (medscape.com)
- Often, more than one piece of bone is broken in this type of fracture. (medlineplus.gov)
- This type of fracture is common among older adults and can be related to osteoporosis. (rochester.edu)
- This type of fracture may cause a complication because the break usually cuts off the blood supply to the head of the thighbone, which forms the hip joint. (rochester.edu)
- This type of fracture does not usually interrupt the blood supply to your bone and may be easier to repair. (rochester.edu)
- Another type of fracture, called a stress fracture of the hip, may be harder to diagnose. (rochester.edu)
- Rehabilitation of the femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (gosthemd.com)
Lesser trochanter2
- IMSEAR at SEARO: Rotational Alignment of Femoral Fractures : Does Fluoroscopic Assessment of the Lesser Trochanter be Helpful? (who.int)
- Paget's disease of bone), post-Perthes deformity, osteomyelitis, and post traumatic (due to improper healing of a fracture between the greater and lesser trochanter). (morethingsjapanese.com)
Open reductio5
- When femoral prostheses are well fixed (type A, type B1, and type C), PPFx can be achieved either non-surgically or through an open reduction and internal fixation (ORIF) procedure, whereas types B2 and B3 require prosthesis revision [4,12-13]. (researchsquare.com)
- Although the main treatment for Vancouver B1 fractures is open reduction and internal fixation, no consensus has been reached concerning the optimal method of reduction and fixation [14-17]. (researchsquare.com)
- The autograft group included 18 patients with depressed tibial plateau fractures treated with autogenous bone grafting from the ipsilateral femoral condyle following open reduction and internal fixation. (openorthopaedicsjournal.com)
- The use of autogenous graft from the ipsilateral femoral condyle following open reduction and internal fixation of depressed tibial plateau fractures provided enough bone to maintain the height of the tibial plateau and was not associated with any donor site morbidity. (openorthopaedicsjournal.com)
- 2. All patients who had open reduction and internal fixation with retrograde femoral interlocking nail. (who.int)
Head fracture6
- This study, adds to the growing literature on femoral head fracture and provides a reference for the clinical treatment to guide patient management. (bvsalud.org)
- What causes a femoral head fracture? (morethingsjapanese.com)
- The classic mechanism of injury for femoral head fracture is traumatic posterior dislocation of the hip [6]. (morethingsjapanese.com)
- Shear forces against the femoral head as it exits the contained acetabulum are thought to cause the femoral head fracture during hip dislocation [7]. (morethingsjapanese.com)
- If you sustain a femoral head fracture, you will usually not be able to walk on your leg due to pain. (morethingsjapanese.com)
- How is a femoral head fracture treated? (morethingsjapanese.com)
Osteoporosis20
- The influence of ageing on the fracture mechanics of cortical bone tissue is well documented, though little is known about if and how related material properties are further affected in two of the most prominent musculoskeletal diseases, osteoporosis and osteoarthritis (OA). (ox.ac.uk)
- RPI (using the Biodent device) and fracture toughness tests were conducted on samples from the inferomedial neck of bone resected from donors with: OA (41 samples from 15 donors), osteoporosis (48 samples from 14 donors) and non age-matched cadaveric controls (37 samples from 10 donoros) with no history of bone disease. (ox.ac.uk)
- In addition, osteoporosis or osteoarthritis do not seem to further influence fracture toughness of the inferomedial femoral neck beyond natural ageing. (ox.ac.uk)
- Females with the female athlete triad (ie, disordered eating, menstrual dysfunction, premature osteoporosis) are also at increased risk for stress fractures. (medscape.com)
- Patients who are being treated with bisphosphonates for osteoporosis should not stop taking their medications because of fear about these fractures," Elizabeth Shane, MD, professor of medicine, Division of Endocrinology, Columbia University College of Physicians & Surgeons, New York, NY, and author of an accompanying editorial told Medscape Diabetes & Endocrinology . (medscape.com)
- It is of the utmost importance to provide some reassurance to patients and physicians about the relative rarity of these fractures and to point out that bisphosphonates are effective in treating osteoporosis and preventing fractures. (medscape.com)
- Dennis Black, PhD, lead author of the current study, told Medscape Diabetes & Endocrinology , "We showed that in women with osteoporosis similar to those in these studies, the benefits of bisphosphonates in terms of fracture reduction outweigh any plausible risk. (medscape.com)
- More than 1.5 million Americans have fractures each year because of osteoporosis. (rochester.edu)
- You are at risk for a hip fracture if you have osteoporosis. (rochester.edu)
- ABSTRACT Vertebral fracture, the hallmark of osteoporosis, usually occurs in postmenopausal women with low bone mineral density (BMD). (who.int)
- Information on previous fracture in NHANES 2013-2014 is available from two sources: the osteoporosis questionnaire (OSQ_H) and the vertebral fracture assessment examination files. (cdc.gov)
- The osteoporosis questionnaire includes items on self-reported physician's diagnosis of hip fracture (OSQ010a), wrist fracture (OSQ010b), spine fracture (OSQ010c) and any other fracture (OSQ080). (cdc.gov)
- Patients with osteoporosis, bone tumor or infections, or a history of knee replacement are more prone to femur fractures. (gosthemd.com)
- Long-term use of certain medicines, such as bisphosphonates to treat osteoporosis and other bone diseases, can increase the risk of hip fractures. (courtneybellmd.com)
- Sometimes a patient's first fracture is the sentinel event that alerts the clinician to an underlying disorder leading to osteoporosis. (medscape.com)
- Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. (medscape.com)
- Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial. (medscape.com)
- Fractures attributable to osteoporosis: report from the National Osteoporosis Foundation. (lievers.net)
- Osteoporosis is characterized by bone mineral density (BMD), thus increasing bone fragility and fracture risk. (bvsalud.org)
- The BMD of the mandible was correlated with the BMD of the lumbar spine and femoral neck, in osteopenia and osteoporosis cases 8 . (bvsalud.org)
Elderly11
- Early Surgery in Femoral Neck Fractures in Elderly: Does Preoperative ASA Score Matter? (scirp.org)
- Femoral fractures in the elderly can cause physical, emotional, family and social problems. (bvsalud.org)
- The objective of these studies was to identify the occurrence of hip fractures and to screening signs of depression in the elderly. (bvsalud.org)
- We found that a period of one year, there were 94 admissions of elderly with hip fractures, mainly by falls in their homes, resulting in loss of autonomy, pain, and sorrow. (bvsalud.org)
- We concluded that there was a high number of hospitalizations for hip fractures and signs of depression among the elderly, signaling the necessity of further investigations and actions which change that reality. (bvsalud.org)
- Fifty percent of fractures around hip in elderly patients involves trochanteric fracture that are of unstable type. (jojs.in)
- A fall is the most common reason for a hip fracture among the elderly. (rochester.edu)
- In the elderly, even a simple fall from a standing position may result in a fracture as the bones tend to become weak and fragile with advancing age. (gosthemd.com)
- The study supports the use of FICB in acute management of hip fracture pain because it is an effective, easily learned procedure that also may reduce opioid side effects in this fragile, elderly group of patients. (silverchair.com)
- HIP fracture patients are in severe pain upon arrival at the emergency department (ED). 1 Pain treatment is traditionally based on systemic opioids, 2 which have a large potential for side effects in these frail and elderly patients. (silverchair.com)
- Background: Femoral neck fractures in the elderly are frequent, represent a great health care problem, and have a significant impact on life of the patient as well as the family. (ejmcm.com)
Compression15
- Compression-side fractures may be treated conservatively. (medscape.com)
- Compression-side fractures should be referred as appropriate for expert care if not familiar with their treatment. (medscape.com)
- This treatment regimen is most appropriate for compression (as opposed to tension) fractures. (medscape.com)
- Rarely, conservative treatment such as for compression-side fractures is attempted for small, nondisplaced tension-side FNSFs. (medscape.com)
- Compression-side fractures can be treated with conservative therapy. (medscape.com)
- We undertook a comparative biomechanical study of type B1 fractures around the femoral prosthesis following cemented hip arthroplasty using the Ortho-Bridge System (OBS) and a locking compression plate/locking attachment plate structure (LCP+LAP), and aimed to determine the effectiveness and advantages of the OBS when treating this fracture type. (researchsquare.com)
- Axial compression and torsion experiments were then performed using simple and comminuted fracture models. (researchsquare.com)
- When simulating simple oblique fractures, no significant difference was found in terms of stiffness between the four groups in the axial compression experiment (P = 0.257). (researchsquare.com)
- In the axial compression failure test, the fixed failure mode in the LCP+LAP system involved destruction of the contact cortex at the fracture site, while the failure modes in the three OBS combinations involved destruction of the contact cortex at the fracture site and the fracture around the screws above the osteotomy. (researchsquare.com)
- [ 8 ] Stress fractures on the compression side (the inferior aspect) of the femoral neck are more common than stress fractures on the tension side (the superior aspect). (medscape.com)
- Compression side (inferior femoral neck) which is seen in this case. (aliem.com)
- If you have an intertrochanteric fracture (the area below the femur neck), your surgeon will use a special metal plate and special compression screws to repair it. (medlineplus.gov)
- The helical blade is believed to provide stability, compression as well as rotational control of the fracture. (jojs.in)
- A novel fixation strategy, compression buttress screw (CBS) fixation, was proposed for femoral neck fractures. (injuryjournal.com)
- The differential diagnosis of an atraumatic compression fracture may include osteomalacia, tumor, osteonecrosis, infection, and other bone-softening metabolic disorders. (medscape.com)
Osteoporotic fracture4
- The femoral neck, in close proximity to the most pertinent osteoporotic fracture site and near the hip joint affected by osteoarthritis, is a site of particular interest for investigation. (ox.ac.uk)
- This data file contains two versions of FRAX scores for hip fracture and major osteoporotic fracture, in order to allow flexibility for data users regarding the definition of previous fracture used to calculate the FRAX scores. (cdc.gov)
- This data file contains two versions of FRAX scores for hip fracture and major osteoporotic fracture. (cdc.gov)
- EMAS position statement: The management of postmenopausal women with vertebral osteoporotic fracture. (gmdahub.com)
Osteoarthritis3
- These patients do not appear to be at increased long-term risk for avascular necrosis of the femoral head or osteoarthritis. (medscape.com)
- The hip joint model shows the femoral fractures that occur most commonly in practice as well as typical wear and tear symptoms of the hip joint (coxarthrosis or hip osteoarthritis). (anatomywarehouse.com)
- Femoral fracture and hip osteoarthritis mounted on base. (anatomywarehouse.com)
Lateral5
- The latter included 17 patients who had an excellent outcome following treatment of split and/or depressed lateral plateau fractures, using a similar surgical technique but grafting with bone substitutes (allografts). (openorthopaedicsjournal.com)
- Users can choose to assign FRAX scores that reflect previous fracture defined only by self-reported fracture data, or they can assign FRAX scores that reflect both self-reported fracture data and morphometric vertebral fracture obtained from a lateral spine scan. (cdc.gov)
- Information on vertebral fracture from a lateral dual-energy x-ray absorptiometry (DXA) scan is available in the vertebral fracture assessment examination file (DXXVFA_H) and can also be defined using vertebral dimensions provided in the vertebral morphometry files. (cdc.gov)
- This study represents the results of displaced intracapsular femoral neck fracture managed with hemiarthroplasty by bipolar with transgluteal approach (direct lateral approach). (ejmcm.com)
- Methods: In this prospective observational study we included thirty patients of intracapsular neck of femur fracture treated with hemiarthroplasty using bipolar prosthesis by transgluteal approach (direct lateral approach). (ejmcm.com)
Ipsilateral1
- Autograft, depressed tibial plateau fracture, ipsilateral femoral condyle. (openorthopaedicsjournal.com)
Internal fixation9
- Hazards of internal fixation in the treatment of slipped capital femoral epiphysis. (ac.ir)
- 6. Lehman WB, Grant A, Rose D, Pugh J, Norman A. A method of evaluating possible pin penetration in slipped capital femoral epiphysis using a cannulated internal fixation device. (ac.ir)
- If it is mets, then the decision may change, but otherwise, internal fixation with multiple screws would be the way to go, One could either do a closed reduction (which should not be a problem in a basal fracture like this one, or an open reduction if one cannot achieve a closed reduction. (hwbf.org)
- Eight (16%) patients were managed successfully with closed reduction without surgery and thirty-seven (74%) patients required operative reduction and internal fixation (ORIF) of the femoral head and acetabulum , and 5 (10%) patients required immediate THR. (bvsalud.org)
- Biomechanical evaluation of internal fixation implants for femoral neck fractures: A comparative finite element analysis. (edu.sa)
- Dive into the research topics of 'Biomechanical evaluation of internal fixation implants for femoral neck fractures: A comparative finite element analysis. (edu.sa)
- Fracture Type and Injury-to-Surgery Interval as Risk Factors for Avascular Necrosis of the Femoral Head after Internal Fixation of Intracapsular Femoral Neck Fracture]. (qxmd.com)
- Osteosynthesis of ununited femoral neck fracture by internal fixation combined with iliac crest bone chips and muscle pedicle bone grafting. (qxmd.com)
- External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (gosthemd.com)
Stress22
- If the pain is more than a very mild intensity, the stress fracture may not have healed completely yet and needs additional rest. (medscape.com)
- Stress fractures are a problem in various populations including runners and military trainees. (medscape.com)
- Certain stress fractures have a higher risk of poor outcome, including anterior tibial and femoral neck stress fractures (FNSFs). (medscape.com)
- See also the article Femoral Neck Stress and Insufficiency Fractures . (medscape.com)
- Stress fractures may develop in up to 15% of runners and military trainees. (medscape.com)
- [ 3 ] Of those patients who develop stress fractures, about 5-10% of the fractures are in the femoral neck. (medscape.com)
- Improper training is the most obvious cause for a stress fracture. (medscape.com)
- In the military population, trainees who have initially lower levels of fitness and higher body mass indexes are at an increased risk of stress fractures. (medscape.com)
- [ 1 ] A history of a previous stress fracture is also a risk factor for a recurrence. (medscape.com)
- [ 9 ] Finally, a study on male US Marine Corps recruits showed a higher risk of stress fracture with low body weight and small femoral diaphysis. (medscape.com)
- Plebes undergoing training at the US Naval Academy who had significant weight loss and smaller muscle mass were associated with a much higher incidence of stress fracture than their fitness-matched cohorts. (medscape.com)
- A study by Goldin et al suggested that femoral neck stress injury patients have a higher incidence of bony abnormalities associated with pincer impingement, including coxa profunda and acetabular retroversion, however, further studies are needed to evaluate this relationship. (medscape.com)
- Femoral neck stress fractures are usually a result of repetitive abductor muscle contraction [1]. (aliem.com)
- Femoral neck stress fractures are uncommon injuries, but are prevalent among long-distance runners and military recruits. (aliem.com)
- There are two sites where the stress fracture can occur. (aliem.com)
- Management and Treatment of Femoral Neck Stress Fractures in Recreational Runners: A Report of Four Cases and Review of the Literature. (aliem.com)
- Clough, T. Femoral Neck Stress Fracture: The Importance of Clinical Suspicion and Early Review. (aliem.com)
- Rapid Magnetic Resonance Imaging Evaluation of Femoral Neck Stress Fractures in a U.S. Active Duty Military Population. (aliem.com)
- It looks like there is an early fatigue (stress) fracture of the opposite hip as well. (hwbf.org)
- Looks like a displaced stress fx to me. (hwbf.org)
- Alendronate therapy is assoaciated with an emerging pattern of increasingly prevalent subtrochanteric stress fractures. (greenmedinfo.com)
- Overuse and repetitive motion can cause a stress fracture. (rochester.edu)
Bone Density2
- Young women who perform weightbearing exercise regularly can increase the bone density of their femoral neck. (medscape.com)
- The clinical implications are that for people at high risk of fracture, particularly those with bone density in the osteoporotic range or with an existing spine fracture, any potential risks are outweighed by the benefits of fracture reduction. (medscape.com)
Treatment21
- Therefore further studies could be useful in order to better assess risk related factors of patients requiring surgical treatment for femoral neck fracture. (scirp.org)
- Last guidelines agree that time to treatment for these fractures is within 48 hours from trauma [5] in order to reduce bedridding. (scirp.org)
- This paper evaluates the efficacy and safety of the use of cancellous screw fixation in the treatment of intracapsular femoral neck fractures in our local population. (annals.edu.sg)
- The Vancouver classification proposed by Duncan [10] is the most commonly used classification for femoral PPFx that includes the anatomical site of fracture, prosthesis stability, and bone stock quality, which is helpful information when determining a final fracture treatment plan [11]. (researchsquare.com)
- Depending on the severity of the fracture, the age of the patient and the amount of displacement, the treatment for a femoral neck fracture can vary. (dongaline.com)
- Treatment of unstable trochanteric fractures. (eur.nl)
- The treatment of intertrochanteric fractures continues to be a challenge in orthopedic trauma, especially in geriatric population. (jojs.in)
- In such circumstances, nonoperative treatment is mainly reserved for poor medical candidates and nonambulant patients with minimal discomfort after fracture. (jojs.in)
- A wide variety of treatment options are available for these fractures. (jojs.in)
- The sliding hip screw device has been used for more than a decade for the treatment of these fractures, which may not be an ideal implant in all cases. (jojs.in)
- The rationale for operative treatment of depressed tibial plateau fractures is anatomic reduction, stable fixation and grafting. (openorthopaedicsjournal.com)
- Treatment of a femoral neck fracture will depend on your age and the extent of displacement of the fractured bone. (justinlareaumd.com)
- Closed locked intramedullary nailing is largely considered the preferred treatment option for fractures of the femoral diaphysis , owing to its associated high union and low complication rates. (bvsalud.org)
- Another study , as covered by Medscape Diabetes & Endocrinology , found that these rare, low-energy femur fractures associated with long-term bisphosphonate treatment are typically transverse or slightly oblique, diaphyseal, or subtrochanteric, with thickened cortices and a unicortical beak. (medscape.com)
- Age and sex matched control subjects without fragility fractures or anti-resorptive treatment were recruited. (austin.org.au)
- The risk for failure in treatment (FIT) associated with patient- and fracture-related factors was evaluated by logistic regression analyses. (qxmd.com)
- The treatment of long-bone fractures with intramedullary nailing has been a common method, and there have sporadically appeared reports about difficulties on removal of the internal fixator devices [ 1-7 ]. (journalmc.org)
- Non-surgical treatment comprises of immobilizing the fractured site with the help of casts or braces to prevent weight bearing and to help the healing process. (gosthemd.com)
- Surgical treatment is considered to realign the fractured bone. (gosthemd.com)
- Treatment of type III tibial intercondylar eminence fractures in skeletally immature athletes. (doximity.com)
- The off leader of this four-horse hitch recovered from a fractured splint bone following treatment at the University of Georgia College of Veterinary Medicine and will be leading the first six-horse hitch to pull the Wells Fargo Stagecoach in the 2018 Rose Bowl Parade in Pasadena, California next weekend. (blogspot.com)
Injuries6
- This fracture orientation is most often present when found concomitantly with which of the following orthopaedic injuries? (orthobullets.com)
- Intertrochanteric fracture is one of the most devastating injuries whose incidence increases with advancing age. (jojs.in)
- Management and outcome of patients with femoral head fractures: the mid-term follow-up with injuries and associated prognostic factors. (bvsalud.org)
- Femur fractures may be caused by high energy injuries such as a fall from height or a motor vehicle accident. (gosthemd.com)
- The diagnosis of femur fracture is based on the patient's medical history including history of any previous injuries, complete physical examination and imaging studies. (gosthemd.com)
- Typical injuries are sprains, dislocations, fractures, stab wounds from stepping onto pointed objects and local skin damage (corrosion, dermatitis, allergy) from contact with chemicals. (hsimagazine.com)
Avascular4
- [ 4 ] Failure to diagnose FSNFs may lead to catastrophic consequences, including avascular necrosis of the femoral head and the need for a hip replacement in otherwise healthy young individuals. (medscape.com)
- The aim of our study was to identify the risk factors for avascular necrosis of the femoral head (AVN) and fixation failure (FF) after screw osteosynthesis in patients with valgus angulated femoral neck fractures. (qxmd.com)
- Avascular necrosis of the femoral head after osteosynthesis of femoral neck fracture. (qxmd.com)
- A predictive method for subsequent avascular necrosis of the femoral head (AVNFH) by observation of bleeding from the cannulated screw used for fixation of intracapsular femoral neck fractures. (qxmd.com)
Vertebral2
Outcome7
- All these comorbidities contribute to poor quality of life after femur neck fracture and to reduction of outcome quality. (scirp.org)
- Few studies have described patient-reported outcome measures (PROMs) in knee fracture patients. (nih.gov)
- We reported knee-specific and generic median PROM scores after knee fracture and identified risk factors for poor outcome defined by low median PROM scores. (nih.gov)
- We identified several important risk factors for poor outcome measured by PROMs at different follow-up periods following knee fracture, which will help direct future quality-improvement initiatives. (nih.gov)
- 4. Mueller M, Jahnich H, Butler-Manuel A. Inadvertent guide wire advancement in hip fracture fixation with fatal outcome. (ac.ir)
- This study was designed to assess the outcome of open locked intramedullary nailing of femoral diaphyseal fractures. (bvsalud.org)
- Indices affecting outcome of neglected femoral neck fractures after valgus intertrochanteric osteotomy. (qxmd.com)
Injury2
- Hip fracture is a serious injury and needs immediate medical attention. (rochester.edu)
- A week after the injury, intramedullary interlocking nailing was performed using a Zimmer (Warsaw, IN) ZMS ® femoral nail. (journalmc.org)
Surgical5
- Nondisplaced tension-side fractures are usually treated with surgical pinning. (medscape.com)
- Urgently refer the patient for orthopedic evaluation for surgical fixation in cases of displaced fractures. (medscape.com)
- These fractures are less common but require surgical fixation [1,2]. (aliem.com)
- Despite marked improvements in implant design, surgical technique, and patient care, intertrochanteric fractures continue to consume a substantial proportion of our healthcare resources and remain a challenge to date. (jojs.in)
- However, femoral neck fractures are rarely stable enough to manage with only conservative therapy and usually require surgical repair. (justinlareaumd.com)
Femur neck2
Postmenopausal women1
- Incidence of femoral fractures in postmenopausal women. (cdc.gov)
Diaphyseal fractures2
- 21 female ) with 46 femoral diaphyseal fractures were studied. (bvsalud.org)
- Atypical features were evaluated, and relative hazards for subtrochanteric and diaphyseal fractures were calculated for each study. (medscape.com)
Tibial2
- Proximal tibial fracture. (nih.gov)
- Although fractures during removal of intramedullary tibial nails have been reported [ 1-4 ], there have been few reports of difficult removal for femoral nails [ 5-7 ] and no reports of fracture during removal of a femoral intramedullary nail, to our knowledge. (journalmc.org)
Screw4
- J. Arthroscopic retrieval of a broken guide wire fragment from the hip joint alter cannulated screw fixation of slipped capital femoral epiphysis. (ac.ir)
- ADAPT is a fluoroscopic computer-assisted surgery system which intraoperatively shows the distance from the tip of the screw to the surface of the femoral head, tip-to-head-surface distance (TSD), and the tip-apex distance (TAD) advocated by Baumgaertner et al. (assistedsurgery.com)
- Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw (DHS) fixation]. (qxmd.com)
- Valgus osteotomy and repositioning and fixation with a dynamic hip screw and a 135º single-angled barrel plate for un-united and neglected femoral neck fractures. (qxmd.com)
Lumbar2
- A study from China found that long-term (3 years) alendronate therapy significantly lowered the incidence of fractures, increased BMD in the lumbar spine and femoral neck, and reduced bone turnover biomarkers in children and adolescents with OI. (medscape.com)
- 3 Blockade of the lumbar plexus has been proposed as an alternative method of acute pain control, and femoral nerve block has been evaluated in some descriptive series and a few randomized studies. (silverchair.com)
Trochanteric fracture1
- Open access Accuracy analysis of computer-assisted surgery for femoral trochanteric fracture using a fluoroscopic navigation system: Stryker ADAPT® system , by Takai et al. (assistedsurgery.com)
Associated with bisphosphonate1
- Teriparatide improves bone quality and healing of atypical femoral fractures associated with bisphosphonate therapy. (austin.org.au)
Nail5
- This is to report a case of femoral fracture caused by removal of a femoral intramedullary nail. (journalmc.org)
- The nail was removed 2 years and 5 months later, and fresh fracture lines were found in the postremoval radiograph. (journalmc.org)
- A case of femoral fracture during removal of a femoral intramedullary nail is presented. (journalmc.org)
- The fracture appeared to be closely tied in with the structure of the femoral intramedullary nail. (journalmc.org)
- The Flex-Thread Ulna IM Nail is intended for use in the fixation of fractures. (medicaldesigndevelopment.com)
Osteosynthesis4
- Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? (edu.au)
- Dive into the research topics of 'Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? (edu.au)
- This solid feline femur with a trochanteric major fracture differentiates in corticalis and bone marrow and is ideal for the training of osteosynthesis techniques. (vetiqo.com)
- With its comminuted fracture it is ideally suited for the training of different osteosynthesis techniques on the feline femur. (vetiqo.com)
Trauma1
- If you are younger, a hip fracture is generally the result of a car accident, a fall from a great height, or severe trauma. (rochester.edu)
Patients21
- Rarely, a trial of conservative therapy in compliant patients may be attempted if the tension-side fracture is small and not displaced. (medscape.com)
- Although knee fracture patients have relatively high knee function and quality of life, their ability to forget about the knee joint after knee fracture is compromised. (nih.gov)
- It achieved our aim of returning most patients to their pre-fracture level of ambulation and providing good pain relief. (annals.edu.sg)
- however, two of these patients later developed osteonecrosis of their femoral heads. (orthobullets.com)
- We have recently shown that Reference Point micro-Indentation (RPI) detects differences between cortical bone from the femoral neck of healthy, osteoporotic fractured and osteoarthritic hip replacement patients. (ox.ac.uk)
- Patients at low-risk for fracture should be considered for drug discontinuation after 3 to 5 years of use. (drugs.com)
- Patients who discontinue therapy should have their risk for fracture re-evaluated periodically. (drugs.com)
- We retrospectively reviewed 50 patients who sustained femoral head fractures between January 2011 and December 2018. (bvsalud.org)
- Medical records and radiographs of all adult patients who had open locked intramedullary nailing of fractures of the femoral diaphysis between January 1, 2013 and July 31, 2017 were retrieved. (bvsalud.org)
- A total of 45 patients with 46 fractures of the femoral diaphysis were retrospectively studied. (bvsalud.org)
- There were a total of 12 subtrochanteric or diaphyseal femur fractures in 10 patients, occurring at a combined rate of 2.3 per 10,000 patient-years. (medscape.com)
- The aim of this study was to determine whether teriparatide therapy assists in fracture healing and improves bone quality in patients with bisphosphonate associated atypical femoral fractures. (austin.org.au)
- A prospective study was conducted involving 14 consecutive patients presenting during 2 years with atypical femoral fracture. (austin.org.au)
- Administration of 20 μg of teriparatide subcutaneously daily for 6 months to 5 of the 14 patients was associated with 2-3 fold increase in bone remodelling markers (p=0.01) and fracture healing. (austin.org.au)
- Of the nine patients managed conservatively or surgically, seven had poor fracture healing with ongoing pain, one sustained a contralateral atypical fracture and one had fracture union after 1 year. (austin.org.au)
- The severity of initial deformity predicts AVN and FF in patients with valgus angulated femoral neck fractures. (qxmd.com)
- Hip fracture patients are in severe pain upon arrival at the emergency department. (silverchair.com)
- Forty-eight patients with suspected hip fracture were included immediately after arrival in the emergency department, before x-ray confirmation of their fracture. (silverchair.com)
- Therefore, the current study was performed to evaluate the effect of the FICB method compared with standardized systemic morphine analgesia in acute hip fracture patients after arrival in the ED in a double-blind controlled setup with placebo blockade. (silverchair.com)
- In this study we included patients age above 60 years with closed displaced intracapsular fracture neck of femur. (ejmcm.com)
- We excluded patients with open extracapsular fracture neck of femur. (ejmcm.com)
Acetabulum1
- Radiographic image of a broken shenton's curve, which shows the relationship of the femoral head to the acetabulum, indicates a femoral neck fracture. (justinlareaumd.com)
High risk of fracture2
Severity of the fracture2
- Multiple X-rays and other imaging studies such as CT and MRI scans may be used to identify the location and severity of the fracture. (gosthemd.com)
- The management of the fracture is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (gosthemd.com)
Risk for hip fracture2
- Who is at risk for hip fracture? (rochester.edu)
- FRAX® scores are estimates of 10-year risk for hip fracture and major osteoporotic fractures (hip, clinical (symptomatic) spine, wrist, humerus). (cdc.gov)
Surgery8
- Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture', The Archives of Bone and Joint Surgery , 5(1), pp. 63-65. (ac.ir)
- Hip fracture surgery is done to repair a break in the upper part of the thigh bone. (medlineplus.gov)
- The type of surgery you have depends on the kind of fracture you have and also your general health. (medlineplus.gov)
- Most of the problems that develop after hip fracture surgery can be prevented by getting out of bed and walking as soon as possible. (medlineplus.gov)
- Surgery for a femoral neck fracture is performed under general or spinal anesthesia. (justinlareaumd.com)
- For this surgery, your surgeon will make an incision over the outside of the hip, remove the femoral head and replace it with a metal implant. (justinlareaumd.com)
- Patient was implanted on an unknown side and underwent revision surgery due to implant fracture, fluid collection and squeaky noise. (fda.gov)
- With most hip replacement approaches, completing the surgery requires dislocating the femoral head from the socket or placing the leg in positions the hip normally wouldn't allow, which can further damage muscle and tendons. (craigdailypress.com)
Atypical fractures1
- Teriparatide may assist in healing of atypical fractures and restoration of bone quality. (austin.org.au)
Subtrochanteric4
- March 25, 2010 ( UPDATED March 30, 2010 ) - Subtrochanteric and diaphyseal femur fractures are rare, even with bisphosphonate use for up to 10 years, according to the results of an analysis of 3 trials reported online March 24 in the New England Journal of Medicine . (medscape.com)
- On March 10, as reported by Medscape Medical News , the US Food and Drug Administration (FDA) issued an alert that it had no evidence to conclude that bisphosphonates increased the risk for subtrochanteric and diaphyseal femur fractures. (medscape.com)
- Relative hazards for subtrochanteric or diaphyseal femur fractures vs placebo were 1.03 for alendronate use in the FIT trial (95% confidence interval [CI], 0.06 - 16.46), 1.50 for zoledronic acid use in the HORIZON-PFT trial (95% CI, 0.25 - 9.00), and 1.33 for continued alendronate use in the FLEX trial (95% CI, 0.12 - 14.67). (medscape.com)
- Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research. (lievers.net)
Incidence of hip fractures1
- The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age. (annals.edu.sg)