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Femoral Neck Stress Fracture

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21. Augmentation by cerclage wire improves fixation of vertical shear femoral neck fractures-A biomechanical analysis. (PubMed)

Augmentation by cerclage wire improves fixation of vertical shear femoral neck fractures-A biomechanical analysis. Femoral neck fractures in young individuals are typically vertical shear fractures. These injuries are difficult to stabilize due to a significant varus displacement force across the hip with weight bearing. The purpose of this study was to evaluate the biomechanical stability offered by the addition of an augmented wire to conventional inverted triangle triple screw fixation (...) for stabilizing vertical shear femoral neck fracture.Sixteen medium 4th-generation synthetic composite femurs (Sawbones Pacific Research Laboratories, Vashon, WA) were divided into two groups. Vertical osteotomy was performed to mimic Pauwels III femoral neck fracture. Group A (n=8) was fixed with three parallel 6.5-mm cannulated screws (Stryker) with washer in inverted triangle configuration. In group B (n=8), all the screws were set using methods identical to group A, with the addition of the cerclage wire

2016 Injury

22. Prophylactic proton pump inhibitors in femoral neck fracture patients – A life - and cost-saving intervention (PubMed)

Prophylactic proton pump inhibitors in femoral neck fracture patients – A life - and cost-saving intervention Introduction Acute gastrointestinal stress ulceration is a common and serious complication of trauma. Prophylactic proton pump inhibitors (PPIs) or histamine receptor antagonists have been used in poly-trauma, burns and head and spinal injuries, as well as on intensive care units, for the prevention of acute gastric stress ulcers. Methods We prospectively studied the use (...) of prophylactic PPIs in with femoral neck fracture patients, gathering data on all acute gastric ulcer complications, including coffee-ground vomiting, malena and haematemesis. We then implemented a treatment protocol in which all patients were given prophylactic PPIs, again prospectively collecting all data. Results Five hundred and fifteen patients were included. Prior to prophylactic PPI, 15% of patients developed gastric stress ulcer complications, with 3% requiring acute intervention

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2016 Annals of the Royal College of Surgeons of England

23. Bilateral stress fracture of femoral neck in non-athlete – case report (PubMed)

Bilateral stress fracture of femoral neck in non-athlete – case report Bilateral stress fracture of femoral neck in healthy young patients is an extremely rare entity, whose diagnostic and treatment represent a major challenge. Patients with history of hip pain, even non-athletes or military recruits, should be analyzed to achieve an early diagnosis and prevent possible complications from the surgical treatment. This report describes a 43-year-old male patient, non-athlete, without previous (...) diseases, who developed bilateral stress fracture of femoral neck without displacement. He had a late diagnosis; bilateral osteosynthesis was made using cannulated screws. Although the diagnosis was delayed in this case, the study highlights the importance of the diagnosis of stress fracture, regardless of the activity level of the patients, for the success of the treatment.

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2016 Revista brasileira de ortopedia

24. Bilateral Femoral Neck Stress Fracture in Child: A Case Report (PubMed)

Bilateral Femoral Neck Stress Fracture in Child: A Case Report A femoral neck stress fracture in child is rare, particularly in bilateral case. It is easy to miss initially or may be misdiagnosed. The authors experienced a case of bilateral femoral neck stress fracture in a 10-year-old boy with bilateral hip. The patient was successfully healed by conservative treatment. We report this rare case with a review of the literature. A femoral neck stress fracture should be included

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2016 Hip & pelvis

25. Comparison of femoral strength and fracture risk index derived from DXA-based finite element analysis for stratifying hip fracture risk: A cross-sectional study. (PubMed)

, is defined as the ratio of von Mises stress induced by a sideways fall to the bone yield stress over the proximal femur. We compared risk stratification for prior hip fracture using FS and FRI derived from DXA-based FEA.The study cohort included women aged ≥65years undergoing baseline hip DXA, with femoral neck T-scores <-1 and no osteoporosis treatment; 324 cases had prior hip fracture and 655 controls had no prior fracture. Using anonymized DXA hip scans, we measured FS and FRI. Separate multivariable (...) : 0.65, 0.72) was lower than the c-statistic for the model with FRI (0.77; 95% CI: 0.74, 0.80) or femoral neck BMD (0.74; 95% CI: 0.71, 0.77; all P<0.05).FS and FRI were independently associated with hip fracture, but there were differences in performance characteristics.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Bone

26. Femoral Shaft Stress Fracture

Femoral Shaft Stress Fracture Femoral Shaft Stress Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Femoral Shaft Stress (...) Fracture Femoral Shaft Stress Fracture Aka: Femoral Shaft Stress Fracture From Related Chapters II. Epidemiology Less common than III. Symptoms Mild deep thigh soreness IV. Signs Deep thigh tenderness to palpation Positive Positive V. Management Manage non-surgically Return to sport in 8-14 weeks Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Femoral Shaft Stress Fracture." Click on the image (or right click) to open the source

2018 FP Notebook

27. Femoral Neck Stress Fracture: Can MRI Grade Help Predict Return-to-Running Time? (PubMed)

Femoral Neck Stress Fracture: Can MRI Grade Help Predict Return-to-Running Time? Limited research is available regarding return-to-running (RTR) time after femoral neck stress fractures. While studies have shown the prognostic value of image-based grading scales for stress fractures at other sites, few have included femoral neck stress fractures.To determine if the grade of femoral neck stress fractures based on magnetic resonance imaging (MRI) characteristics correlates with RTR time.Cohort (...) study; Level of evidence, 3.This study included 24 patients (mean age, 32.9 years; range, 18-51 years) who were diagnosed with 27 femoral neck stress fractures by MRI from 2009 to 2015 at a single sports medicine clinic. All fractures were compression sided and were treated nonoperatively. Charts were reviewed for patient demographics and RTR time. Images were graded from 1 to 4 using the Arendt stress fracture severity scale. Statistical analysis was performed using survival analysis and Cox

2016 American Journal of Sports Medicine

28. Stress fracture of femoral neck-MRI

Stress fracture of femoral neck-MRI Stress fracture of femoral neck-MRI - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Stress fracture of femoral neck-MRI Stress fracture of femoral neck-MRI Teaching points by Dr MGK Murthy, MRI technologist: Mr Afroz Stress fractures of femoral neck are uncommon and usually unilateral and seen in military recruits and athletes with unusual physical activity demands. Women more often involved and in post menopausal women,osteoporosis may (...) in cases of stress fracture including occult variety Stress fracture of femoral neck-MRI Reviewed by Sumer Sethi on Thursday, November 26, 2015 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has

2015 Sumer's Radiology Blog

29. Simultaneous Bilateral Femoral Neck Stress Fracture in a Young Stone Mason (PubMed)

Simultaneous Bilateral Femoral Neck Stress Fracture in a Young Stone Mason Unilateral stress fractures of the femoral neck are very uncommon and bilateral involvement is even rarer. They commonly occur in athletes, military recruits, older persons, or individuals with underlying metabolic disorders and very seldom in normal individuals. We present a rare case of simultaneous bilateral fracture neck of femur in a 25-year-old man who came with complaints of pain in bilateral groin for 1 month (...) . There was no history of trauma or history suggestive of excessive activity prior to the onset of pain, but there was history of lifting heavy weights daily. On evaluation with MRI scan bilateral fracture of the femur neck was diagnosed and patient was operated on bilaterally with internal fixation done using dynamic hip screw. Patient then regained his routine activity over a period of 6 months and on follow-up at 1 year no avascular necrosis changes were seen in the femur head. We presented this case because

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2015 Case reports in orthopedics

30. Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures (PubMed)

Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures 24519570 2014 05 02 2018 12 02 1528-1132 472 4 2014 Apr Clinical orthopaedics and related research Clin. Orthop. Relat. Res. Letter to the editor: Acetabular retroversion in military recruits with femoral neck stress fractures. 1337-8 10.1007/s11999-014-3500-6 Davis Derik L DL Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 S. Greene Street (...) , Baltimore, MD, 21201, USA, ddavis7@umm.edu. eng Letter Comment 2014 02 12 United States Clin Orthop Relat Res 0075674 0009-921X AIM IM Clin Orthop Relat Res. 2014 Apr;472(4):1339 24549770 Clin Orthop Relat Res. 2010 Mar;468(3):846-51 19588210 Acetabulum pathology Femoral Neck Fractures pathology Fractures, Stress pathology Hip Dislocation pathology Humans Male Military Personnel 2013 11 16 2014 01 30 2014 2 13 6 0 2014 2 13 6 0 2014 5 3 6 0 ppublish 24519570 10.1007/s11999-014-3500-6 PMC3940753

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2014 Clinical Orthopaedics and Related Research

31. Reply to the Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures (PubMed)

Reply to the Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures 24549770 2014 05 02 2018 12 02 1528-1132 472 4 2014 Apr Clinical orthopaedics and related research Clin. Orthop. Relat. Res. Reply to the Letter to the editor: Acetabular retroversion in military recruits with femoral neck stress fractures. 1339 10.1007/s11999-014-3501-5 Kuhn Kevin M KM Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134, USA, Kevin.kuhn (...) @med.navy.mil. eng Letter Comment 2014 02 19 United States Clin Orthop Relat Res 0075674 0009-921X AIM IM Clin Orthop Relat Res. 2014 Apr;472(4):1337-8 24519570 Clin Orthop Relat Res. 2010 Mar;468(3):846-51 19588210 Acetabulum pathology Femoral Neck Fractures pathology Fractures, Stress pathology Hip Dislocation pathology Humans Male Military Personnel 2014 01 30 2014 01 30 2014 2 20 6 0 2014 2 20 6 0 2014 5 3 6 0 ppublish 24549770 10.1007/s11999-014-3501-5 PMC3940774

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2014 Clinical Orthopaedics and Related Research

32. Potential bone fragility of mid-shaft atypical femoral fracture: Biomechanical analysis by a CT-based nonlinear finite element method. (PubMed)

Potential bone fragility of mid-shaft atypical femoral fracture: Biomechanical analysis by a CT-based nonlinear finite element method. The authors previously reported a CT-based nonlinear finite element analysis (nonlinear CT/FEA) model to investigate loading stress distribution in the femoral shaft of patients with atypical femoral fractures (AFFs). This showed that stress distribution, influenced primarily by femoral bowing, may determine the location of AFF. Here, we demonstrate (...) ± 6.5 years), the subtrochanteric AFF group (n = 15; 73.9 ± 6.8 years), and the control group who had sustained unilateral hip fracture (n = 21; 82.1 ± 7.1 years)-and analysed femoral neck bone density and strength. Bone strength of the femoral neck was predicted with an evaluation method using nonlinear CT/FEA in both standing and falling configuration.Femoral neck bone density and strength were significantly higher in the subtrochanteric AFF group compared with the mid-shaft AFF and control groups

2019 Injury

33. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

]. In this regard, MRI outperforms radiography, bone scintigraphy, and CT. Furthermore, MRI examination of an osseous stress injury contains prognostic as well as diagnostic information [30,31]. CT is not typically used as a first- or second-line imaging tool but may offer an adjunctive role when other imaging modalities are equivocal [23]. Although superior to radiography, it is less sensitive than nuclear scintigraphy and MRI [19]. Stress fractures in the femur most often occur in the femoral neck (...) and represent up to 7% of all stress fractures [39]. Lateral “tension-type” femoral neck stress fractures are inherently unstable and prone to displacement [40] and are high-risk fractures, often necessitating percutaneous screw fixation [41]. Medial “compression-type” femoral neck stress fractures are low risk [40] and can be treated with a non–weight-bearing regimen [42]. Finally, stress fractures of the femoral head are high risk in healthy patients and, if not recognized promptly, have increased rates

2016 American College of Radiology

34. Association of incident hip fracture with the estimated femoral strength by finite element analysis of DXA scans in the Osteoporotic Fractures in Men (MrOS) study. (PubMed)

Association of incident hip fracture with the estimated femoral strength by finite element analysis of DXA scans in the Osteoporotic Fractures in Men (MrOS) study. Finite element model can estimate bone strength better than BMD. This study used such a model to determine its association with hip fracture risk and found that the strength estimate provided limited improvement over the hip BMDs in predicting femoral neck (FN) fracture risk only.Bone fractures occur only when it is loaded beyond its (...) ultimate strength. The goal of this study was to determine the association of femoral strength, as estimated by finite element (FE) analysis of DXA scans, with incident hip fracture as a single condition or with femoral neck (FN) and trochanter (TR) fractures separately in older men.This prospective case-cohort study included 91 FN and 64 TR fracture cases and a random sample of 500 men (14 had a hip fracture) from the Osteoporotic Fractures in Men study during a mean ± SD follow-up of 7.7 ± 2.2 years

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2017 Osteoporosis International

35. Femoral Neck Stress Fracture (Overview)

Femoral Neck Stress Fracture (Overview) Femoral Neck Stress Fracture: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY4MDgtb3ZlcnZpZXc= processing > Femoral Neck (...) Stress Fracture Updated: May 31, 2017 Author: Scott D Flinn, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress Fracture Overview Background Stress fractures are a problem in various populations including runners and military trainees. [ , , ] These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which eventually heals, or they may progress to a complete fracture that requires

2014 eMedicine.com

36. Femoral Neck Stress and Insufficiency Fractures (Follow-up)

Femoral Neck Stress and Insufficiency Fractures (Follow-up) Femoral Neck Stress and Insufficiency Fractures Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NjY5MS10cmVhdG1lbnQ= processing > Femoral Neck Stress and Insufficiency Fractures Treatment & Management Updated: Feb 12, 2018 Author: Michael S Wildstein, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress and Insufficiency Fractures Treatment Approach Considerations Indications In 1965, Devas instituted a classification scheme for fatigue fractures, based on prognosis and radiographic appearance. [ ] His system split stress fractures into two types

2014 eMedicine Surgery

37. Femoral Neck Stress and Insufficiency Fractures (Diagnosis)

Femoral Neck Stress and Insufficiency Fractures (Diagnosis) Femoral Neck Stress and Insufficiency Fractures: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NjY5MS1vdmVydmlldw== processing > Femoral Neck Stress and Insufficiency Fractures Updated: Feb 12, 2018 Author: Michael S Wildstein, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress and Insufficiency Fractures Overview Background Femoral neck stress fractures are a common cause of in select populations. Chronic, repetitive activity that is common to runners and military recruits predisposes these populations to femoral neck . These injuries must

2014 eMedicine Surgery

38. Femoral Neck Stress Fracture (Diagnosis)

Femoral Neck Stress Fracture (Diagnosis) Femoral Neck Stress Fracture: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY4MDgtb3ZlcnZpZXc= processing > Femoral Neck (...) Stress Fracture Updated: May 31, 2017 Author: Scott D Flinn, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress Fracture Overview Background Stress fractures are a problem in various populations including runners and military trainees. [ , , ] These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which eventually heals, or they may progress to a complete fracture that requires

2014 eMedicine.com

39. Femoral Neck Stress Fracture (Treatment)

Femoral Neck Stress Fracture (Treatment) Femoral Neck Stress Fracture Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY4MDgtdHJlYXRtZW50 (...) processing > Femoral Neck Stress Fracture Treatment & Management Updated: May 31, 2017 Author: Scott D Flinn, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress Fracture Treatment Acute Phase Rehabilitation Program Physical Therapy Tension-side FNSF should be non-weightbearing and receive immediate referral to an orthopedic surgeon. Compression-side fractures may be treated conservatively. Compression-side fractures should be referred as appropriate

2014 eMedicine.com

40. Femoral Neck Stress Fracture (Follow-up)

Femoral Neck Stress Fracture (Follow-up) Femoral Neck Stress Fracture Follow-up: Return to Play, Complications, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY4MDgtZm9sbG93dXA= processing > Femoral (...) Neck Stress Fracture Follow-up Updated: May 31, 2017 Author: Scott D Flinn, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress Fracture Follow-up Return to Play Once the athlete has completed the walk/run rehabilitation program and is able to run 3 miles without pain, gradually increase the mileage (no more than 10% per wk) until the goal level is obtained. Gradual sport-specific drills and higher-intensity training should be accomplished over

2014 eMedicine.com

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