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Femoral Neck Stress Fracture


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261. SCP Hip Outcomes Study

Dysplasia; Hip Device: Subchondroplasty Procedure with AccuFill Detailed Description: This study is designed as a post-market, single arm, non-randomized multi-center investigation. Male and female subjects, at least 18 years of age, with at least one subchondral bone defect in the form of a cyst and/or bone marrow lesion (BML), insufficiency fracture or bone defect associated with early stage avascular osteonecrosis (AVN) in the femoral head, femoral neck and/or acetabulum who are suitable candidates (...) Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Approximately 100 subjects, each with at least one subchondral bone defect in the form of a cyst and/or bone marrow lesion (BML), insufficiency fracture or bone defect associated with early stage avascular osteonecrosis (AVN) in the femoral head, femoral neck and/or acetabulum who are suitable candidates for use of AccuFill during the Subchondroplasty Procedure are eligible for enrollment

2018 Clinical Trials

262. Monthly Boluses Versus Daily Doses for Correcting Blood Vitamin D Deficit in Obese Children and Adolescents

concentration [ Time Frame: Month 4 ] Modeling and simulation of vitamin D concentration in obese children and adolescents using a mathematical PBPK model Evaluation of one mineral density by biphotonic absorptiometry in the spine [ Time Frame: Day 1 ] Comparison of the both treated arms with the control group Evaluation of one mineral density by biphotonic absorptiometry in the femoral neck [ Time Frame: Day 1 ] Comparison of the both treated arms with the control group Evaluation of bone micro (...) from the national health system Exclusion Criteria: Children will be excluded from the study if: They suffer from symptomatic vitamin D deficiency (tetany, muscular hypotonia, hypocalcaemic seizure) or present signs of rickets at the X-ray (osteopenia and cortical thinning of the long bones, stress fractures, and metaphyseal widening and fraying. The earliest rachitic change is a loss of demarcation between the metaphysic and growth plate and loss of the provisional zone of calcification). A 10

2018 Clinical Trials

263. The EANM practice guidelines for Bone Scintigraphy

traumatology[36, 37] & Periostitis, including shin splints and thigh splints [38] & Enthesopathies, including plantar fasciitis, Achilles tendinitis and bursitis & Spondylolisthesis (acuteorsubacute) & Radiological occult stress-related fractures (e.g. scaphoid, tarsals)ornonspecific symptoms[39] & Insufficiency fractures, including osteoporotic verte- braloroccultfractures,sacralfractures,femoralhead or neck fractures, tibial plateau fractures, tarsal and metatarsalfractures & Septicloosening (...) ), for the imaging of specific anatomical regions (e.g. the pelvis patients with urinary retention, or the distalextremitiesinpatientswithperipheralcirculatorydisor- ders), and in older patients with impaired bone metabolism (osteoporosis, osteomalacia). Usually, the goal of these late (6–24 h) images is to detect stress fractures, osteitis, osteo- myelitisorbonemetastases. SPECTand SPECT/CTacquisitions Diagnosticsensitivityandspecificityofbonescanningcanbe significantly increased by using SPECT or, if available

2016 European Association of Nuclear Medicine

264. Clinical Practice Guideline on the Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

children less than 6 months of age. It is not intended for use for children who have teratologic hip abnormalities or hip abnormalities associated with neuromuscular, genetic, or acquired complex musculoskeletal or developmental abnormalities. BURDEN OF DISEASE/INCIDENCE AND PREVALENCE DDH is a spectrum of anatomic abnormalities of the femoral head and acetabulum of the hip joint. There is inconsistent terminology used to describe these abnormalities and a lack of clarity around which recognized (...) % of abnormalities identified by physical examination and more than 90% identified by ultrasound (US) appear to resolve 8 spontaneously in early infancy raising significant questions about whether or not such hips should be treated with bracing and at what age such treatment should be optimally applied. ETIOLOGY The etiology of DDH in typically developing children is unknown. Both genetic and environmental influences appear to play a role in the development of this condition I-10, I- 21 . Absence of a femoral

2014 American Academy of Orthopaedic Surgeons

265. Fibromuscular Dysplasia: State of the Science and Critical Unanswered Questions Full Text available with Trip Pro

quality of life and poor outcomes such as poorly controlled hypertension and its sequelae, TIA, stroke, dissection, or aneurysm rupture. It should also be noted that FMD may be discovered incidentally while imaging is performed for other reasons or when a bruit is heard in the neck or abdomen in an asymptomatic patient without the classic risk factors for atherosclerosis. Historical Perspective The first description of FMD is attributed to Leadbetter and Burkland in a 5½-year-old boy with severe (...) bruit 99 (22.2) Neck pain 99 (22.2) Tinnitus 84 (18.8) Chest pain or shortness of breath 72 (16.1) Flank/abdominal pain 70 (15.7) Aneurysm 63 (14.1) Cervical dissection 54 (12.1) Epigastric bruit 42 (9.4) Hemispheric transient ischemic attack 39 (8.7) Postprandial abdominal pain 35 (7.8) Stroke 31 (6.9) Claudication 23 (5.2) Amaurosis fugax 23 (5.2) Weight loss 23 (5.2) Horner syndrome 21 (4.7) Renal artery dissection 14 (3.1) Azotemia 9 (2) Myocardial infarction 8 (1.8) Mesenteric ischemia 6 (1.3

2014 American Heart Association

266. Depot Medroxyprogesterone Acetate and Bone Effects

, pregnancy, breastfeeding, menopause, and use of hormonal contraceptives) (6). Peak bone mass is the amount of bone tissue present at the end of skeletal maturation. It is a major determinant of the risk of fracture due to osteoporosis because the mass of bone tissue at any time during adult life is the difference between the amount accumulated at maturity and the amount lost due to aging or other factors. During puberty, the rate of accumulation of BMD at both the lumbar spine and femoral neck increases (...) or early adulthood will reduce peak bone mass and increase the risk for osteoporotic fracture in later life and cautions that use of DMPA beyond 2 years should be considered only if other contraceptive methods are inadequate. The FDA warning was based on independent analyses of data from clinical trials that indicated 1) the magnitude of the average decrease in BMD observed at the total hip and femoral neck were greater than decreases at the lumbar spine in adolescents with DMPA use for more than 2

2014 American College of Obstetricians and Gynecologists

267. Management of Thyroid Cancer

of Radiologists representative). Dr Georgina Gerrard BA, BSc, MB, BChir, MRCP, FRCR, Consultant in Clinical Oncology, St James Institute of Oncology, Leeds (British Association of Head and Neck Oncologists and The Royal College of Radiologists representative). Dr Jackie Gilbert, MBBS, PhD, MRCP, Consultant Endocrinologist, King’s College Hospital, London (British Thyroid Association representative). Mr Barney Harrison, MS, FRCS (Eng), Consultant Endocrine Surgeon, Royal Hallamshire Hospital, Shef? eld (...) ) FRCR MD Consultant Clinical Oncologist Royal Marsden, London (British Association of Head and Neck Oncologists and The Royal College of Radiologists representative). Mrs Judith Taylor, BA (patient representative) Lead, thyroid cancer patient group, British Thyroid Foundation, Harrogate and Secretary, Thyroid Cancer Alliance (Association for Multiple Endocrine Neoplasia Disorders, British Thyroid Foundation, Butter? y Thyroid Cancer Trust, Hypopara UK, Thyroid Cancer Support Group Wales

2014 British Thyroid Association

268. Peri-operative Care of the Elderly

does this statement differ from existing guide- lines? This guideline is speci?c to the role of anaesthesia within the multidisciplinary peri-operative care given to elderly surgical patients. Other relevant guidelines are either specialty-speci?c[4–6], dis- ease-speci?c (for example, hip fracture [10]) or speci?c to only pre-operative assessment [3]. In common with other guidelines, this guideline reviews current evidence regarding best-practice anaesthesia, but also recommends best-practice (...) cardiovascular system are associated with changes in the autonomic nervous system, resulting in reduced cardiac responsiveness to stress [13]. A reduction in the responsiveness of beta-receptors renders the older patient effectively ‘beta-blocked’, which limits the ability to increase cardiac output and to respond to ?uid losses. Cardiac output is fur- ther limited by age-related reductions in cardiac compliance. Baroreceptor dysfunction and reduced responsiveness to angiotensin II further limit the response

2014 Association of Anaesthetists of GB and Ireland

269. Royal Flying Doctor Service Western Operations Clinical manual part 1.Clinical guidelines

1 12.2 Acute Asthma 3 12.3 Bronchiolitis 5 13 TOXICOLOGY 1 13.1 Snakebite 1 13.2 Red-back Spider Bite (RBSB) 4 13.3 Irukandji Syndrome 6 13.4 An Approach To Poisoning 8 13.5 Paraquat Poisoning 9 13.6 Serotonin Syndrome 11 13.7 Cyanide Poisoning 12 14 TRAUMA 1 14.1 Burns 1 14.2 Hydrofluoric Acid Burns 5 14.3 Identification and Management of Pelvic Fractures 6 14.4 Crush Syndrome 8 14.5 Fractured Neck of Femur 9 14.6 Screening Adults With Suspected Cervical Spine Fractures 10 14.7 Acute Spinal (...) or violent feelings Risk factors: ? History of violent behaviour ? Alcohol or drug abuse ? Reports of violence from carers ? Expression of intent to harm RFDS Western Operations Version 6.0 Clinical Manual Issue Date: January 2013 Part 1 - Clinical Guidelines Section 1 Page 9 Life Support ? Social rootlessness ? Previous use of weapons ? Previous dangerous impulsive acts ? Denial of previous dangerous acts ? Known personal trigger factors ? Evidence of severe recent stress ? Poor compliance

2014 Clinical Practice Guidelines Portal

270. Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches Full Text available with Trip Pro

of the femoral head from the femoral neck through the growth plate. They are also more likely to develop bilateral slipped capital femoral epiphysis. Psychosocial Problems There is mixed evidence related to the prevalence and severity of psychosocial problems among severely obese children and adolescents, and it is unclear whether severe obesity precedes these issues or whether psychosocial issues function as pathogenic factors that contribute to severe obesity. Overall health-related quality of life, which (...) al with permission from Elsevier. Copyright © 2007, Mosby, Inc. Other studies have reported that severe pediatric obesity, compared with milder forms of adiposity and normal weight, is associated with higher levels of blood pressure, , , , , dyslipidemia, , , , , oxidative stress, inflammation, , , cardiorespiratory deconditioning (low fitness level) and poor pulmonary function, clustering of cardiometabolic risk factors, , arterial stiffness, increased carotid artery intima-media thickness

2013 American Heart Association

271. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 1 - Introduction and General Considerations

the man- agement of the process. It has been stated that critics of EBM mostly come from within the medical profes- sions (59). In addition to the many scientific challenges related to creating sound guidelines when evidence is weak, Sniderman and Furberg (72) stress the de- structive effects of standards at the local level. Conse- quently, in an age of mandated cost control, managed care, and resource limitation, many practitioners “in the trenches” believe that, instead of revolutionizing care, EBM (...) . These findings have been echoed in numerous studies. Hoy et al (128-130), in multiple publications evaluating spinal pain, showed variable prevalence with a significant re- currence of 24% to 80%; a significant increase in preva- lence as the population ages. Studies of the prevalence of low back and neck pain (131,132) and its impact in the general population have shown 23% of patients re- porting Grade II to IV low back pain with a high pain intensity and disability compared to 15% with neck pain (Fig. 1

2013 American Society of Interventional Pain Physicians

272. Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease Full Text available with Trip Pro

platelet receptor. Increased shear stress, such as occurs normally in arterioles or pathologically in stenotic vessels, can result in platelet activation independently of endothelial damage resulting from vWF multimer extension exposing active sites to bind platelet glycoprotein Ib-IX-V. Platelets bind and become temporarily tethered to vWF. The bond is then released; platelets roll on the endothelium; and a new glycoprotein Ib-IX-V/vWF bond forms. In the absence of endothelial damage or an artificial

2013 American Heart Association

273. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

Therapeutic Lumbar Facet Joint Interventions 2.2.1 Radiofrequency Neurotomy 2.2.2 Therapeutic Facet Joint Nerve Blocks 2.2.3 Intraarticular Injections 3.1.1 Diagnostic Sacroiliac Joint Blocks 3.2 Therapeutic Sacroiliac Joint Interventions 3.2.1 Intraarticular Injections 3.2.2 Periarticular Injections 3.2.3 Conventional Radiofreqency Neurotomy 3.2.4 Cooled Radiofrequency Neurotomy 3.2.5 Pulsed Radiofrequency Neurotomy VI. MANAGEMENT OF NECK PAIN 1.0 Disc-Related Pathology, Spondylosis, Spinal Stenosis (...) or Zygapophysial Joint Blocks 2.2 Therapeutic Thoracic Facet Joint Interventions 2.2.1 Therapeutic Medial Branch Blocks 2.2.2 Radiofrequency Neurotomy 2.2.3 Thoracic Facet (Zygapophysial) Intraarticular Joint Injections VIII. IMPLANTABLES 1.0 SPINAL CORD STIMULATION 2.0 Implantable Intrathecal Drug Administration Systems IX. AN ALGORITHMIC APPROACH 1.0 Comprehensive Algorithm 2.0 Low Back Pain 3.0 Neck Pain 4.0 Thoracic Pain X. DELIVERY OF INTERVENTIONAL TECHNOLOGY 1.0 Neuraxial Steroids 2.0 Antithrombotic

2013 American Society of Interventional Pain Physicians

274. Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery Full Text available with Trip Pro

– , metronidazole + aminoglycoside or fluoroquinolone – A Head and neck Clean None None B Clean with placement of prosthesis (excludes tympanostomy tubes) Cefazolin, cefuroxime Clindamycin C Clean-contaminated cancer surgery Cefazolin + metronidazole, cefuroxime + metronidazole, ampicillin-sulbactam Clindamycin A Other clean-contaminated procedures with the exception of tonsillectomy and functional endoscopic sinus procedures Cefazolin + metronidazole, cefuroxime + metronidazole, ampicillin-sulbactam (...) A Hip fracture repair Cefazolin Clindamycin, vancomycin A Implantation of internal fixation devices(e.g., nails, screws, plates, wires) Cefazolin Clindamycin, vancomycin C Total joint replacement Cefazolin Clindamycin, vancomycin A Urologic Lower tract instrumentation with risk factors for infection (includes transrectal prostate biopsy) Fluoroquinolone, – trimethoprim-sulfamethoxazole, cefazolin Aminoglycoside with or without clindamycin A Clean without entry into urinary tract Cefazolin

2013 Infectious Diseases Society of America

275. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

on Mobile and web-based app of guideline for training of health care practitioners Marketing and distribution of app using and Physical Therapy National Outcomes Data Registry Support the ongoing usage of data registry for common musculoskeletal conditions of the head and neck region Logical Observation Identifiers Names and Codes mapping Publication of minimal data sets and their corresponding Logical Observation Identifiers Names and Codes for the head and neck (...) scores ranged from 87.5 to 90.3 (out of 100) and the mean IKDC 2000 scores ranged from 78.1% to 91.3%. In addition, the overall success rate was 81% based on varus stress examinations. In patients with surgical treatment for chronic PLC injuries, the mean postoperative Lysholm scores ranged from 65.5 to 91.8, and the mean IKDC 2000 scores ranged from 62.6% to 86.0%. Additionally, 90% were catego- rized as successful based on varus stress examinations. III Rochecongar et al 100 performed a systematic

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

276. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

referral. II. Pelvic floor muscle weakness, a risk factor for PGP, is associated with weakness of the abdominal wall in DRA. The incidence of DRA in the antepartum population in the third trimester is 66%, with the occurrence in the postpartum population at 39% after 7 weeks to several years. , I. Differential diagnosis of PGP should consider the presence of hip dysfunction including the possibility of a femoral neck stress fracture due to transient osteoporosis. Studies have demonstrated that average (...) , Boston, Massachusetts Lennox Hoyte MD—OB/Gyn, University of South Florida Medical Group, Tampa, Florida Tonya Satteson, BA, Bulter, Pennsylvania (consumer) Classification The primary ICD­10 codes and conditions associated with PGP during pregnancy are as follows: R10.2, pelvic pain; M54.5, low back pain (LBP); M53.3, sacrococcygeal disorders not elsewhere classified; O26.9, pregnancy­related condition, unspecified; R29.3, abnormal posture; M48.48, fatigue (stress) fracture of vertebra, sacral

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

277. Corticosteroids and Prophylaxis. What complications should you try to prevent in patients on chronic corticosteroids?

in lumbar spine (+2-3%) and femoral-neck (+1%), while the placebo group had decreased BMD in lumbar spine (-0.4%) and femoral neck (-1.2%), p<0.01. Different specialty groups have individually confirmed this benefit of bisphosphonates. In rheumatology, a study of 200 patients with rheumatic diseases compared alendronate 10mg to alfacalcidol over 18 months and found an increase in BMD by +2.1% in bisphosphonate group [9]. In dermatology, 29 patients with immunobullous disease were randomized (...) to alendronate or placebo for 12 months and found increases in BMD in the treatment group by +3.5% to +3.7% in lumbar spine and femoral neck respectively as opposed to decreased in [10]. In gastroenterology, a study of 39 patients with ulcerative colitis were randomized to receive alendronate 5mg or alfacalcidol for 12 months; the investigators demonstrated an increase in lumbar spine BMD in the bisphosphonate group by +4.1% compared with +0.9% in the alfacalcidol group (p<0.0005), though smaller [11

2013 Clinical Correlations

279. 2012 ACCF/SCAI Expert Consensus Document on Cardiac Catheterization Laboratory Standards Update

. Patients Receiving Antiplatelet and Antithrombin Agents xxxx 4.2.3. Chronic Kidney Disease/Renal Insuf?ciency xxxx ATTEMPTS TO REDUCE THE RISK OF CONTRAST NEPHROPATHY xxxx 4.2.4. Other Contrast Media Reactions xxxx 4.2.5. Diabetes Mellitus xxxx 4.2.6. Sedatives and Relaxants xxxx 4.2.7. Heparin-Induced Antibodies xxxx 4.2.8. Pregnant Patients xxxx 4.3. Access Site (Femoral, Radial, Brachial) xxxx 4.4. During the Procedure xxxx 4.4.1. Medications xxxx 4.4.2. Sterile Techniques xxxx 4.4.3 (...) and Therapeutic Procedures in the Cardiac Catheterization Laboratory xxxx PULMONARY VASODILATORS IN THE EVALUATION OF PULMONARY HYPERTENSION xxxx VASODILATOR OR INOTROPIC STRESS TESTING IN AORTIC STENOSIS xxxx TRANSSEPTAL CATHETERIZATION xxxx LV PUNCTURE xxxx 4.5. Therapeutic Interventions for Hemodynamic Compromise xxxx 4.5.1. Improving Cardiac Output xxxx INTRA-AORTIC BALLOON PUMP xxxx OTHER CATHETER DEVICES TO IMPROVE CARDIAC OUTPUT xxxx 4.6

2012 Society for Cardiovascular Angiography and Interventions

280. The Effect of High Impact Exercise on Bone and Articular Cartilage in Post-menopausal Women

assigned non-exercise, control leg. Outcome Measures Go to Primary Outcome Measures : Change in T2 Relaxation Time (ms) [ Time Frame: 6 months (pre and post intervention) ] T2 mapping is an indicator of the water content in cartilage, with longer relaxation times a marker of cartilage degeneration Secondary Outcome Measures : Change in Femoral neck bone mineral density (g/cm2) [ Time Frame: 6 months (pre and post intervention) ] Change in Femoral neck bone mineral content (g) [ Time Frame: 6 months (...) : July 21, 2017 Last Update Posted : July 21, 2017 See Sponsor: Loughborough University Information provided by (Responsible Party): Katherine Brooke-Wavell, Loughborough University Study Details Study Description Go to Brief Summary: Osteoarthritis (OA) and osteoporosis (OP) affect large numbers of the population. Around 8 million people in the UK are affected by OA and over 300,000 people present with fragility fractures in the UK each year. High impact exercise has been shown to improve markers

2017 Clinical Trials

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