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Femoral Neck Stress Fracture

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21. Bilateral Femoral Neck Stress Fracture in Child: A Case Report Full Text available with Trip Pro

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

2016 Hip & pelvis

22. Simultaneous Bilateral Femoral Neck Stress Fracture in a Young Stone Mason Full Text available with Trip Pro

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

2015 Case reports in orthopedics

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

, 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

24. 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

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

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

26. Pathologic Femoral Neck Fracture Due to Fanconi Syndrome Induced by Adefovir Dipivoxil Therapy for Hepatitis B Full Text available with Trip Pro

Pathologic Femoral Neck Fracture Due to Fanconi Syndrome Induced by Adefovir Dipivoxil Therapy for Hepatitis B In Fanconi syndrome, hypophosphatemic osteomalacia is caused by proximal renal tubule dysfunction which leads to impaired reabsorption of amino acids, glucose, urate, and phosphate. We present a rare case of a 43-year-old Korean male who was found to have insufficiency stress fracture of the femoral neck secondary to osteomalacia due to Fanconi syndrome. He had been receiving low-dose (...) adefovir dipivoxil (ADV, 10 mg/day) for the treatment of chronic hepatitis B virus infection for 7 years and he subsequently developed severe hypophosphatemia and proximal renal tubule dysfunction. The incomplete femoral neck fracture was fixed with multiple cannulated screws to prevent further displacement of the initial fracture. After cessation of ADV and correction of hypophosphatemia with oral phosphorus supplementation, the patient's clinical symptoms, such as bone pain, muscle weakness

2016 Clinics in orthopedic surgery

27. Early fracture of the modular neck of a MODULUS femoral stem Full Text available with Trip Pro

Early fracture of the modular neck of a MODULUS femoral stem We present the case of a 46-year-old woman who underwent revision surgery approximately 4 years after total hip arthroplasty because of a fracture of the modular neck of a MODULUS femoral stem. The fractured surfaces of the retrieved implant were inspected using optical and scanning electron microscopy. Three-dimensional finite element analysis was also performed to identify the stresses that might have caused the failure. We (...) concluded that active, obese patients who are implanted with a high-offset, small-sized modular component could experience stress-induced fractures of the modular neck, with proper fixation and osseointegration of the distal stem, especially if residual bone or tissue is present on the inner surface of the neck that could contribute to micromovement and decreased proximal fixation.

2016 Arthroplasty today

28. Prophylactic proton pump inhibitors in femoral neck fracture patients – A life - and cost-saving intervention Full Text available with Trip Pro

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

2016 Annals of the Royal College of Surgeons of England

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

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

30. 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

31. Proximal Femoral Fractures

: December 7, 2018 See Sponsor: University Hospital, Basel, Switzerland Information provided by (Responsible Party): University Hospital, Basel, Switzerland Study Details Study Description Go to Brief Summary: Proximal femoral fractures are a typical pathology in elderly patients after a low-energy trauma. This study analyses preexisting risk factors for proximal femoral fractures as well as for failing to reach the previous functional level, difference in outcome between patients with femoral neck (...) fracture compared to those with pertrochanteric fracture, surgical performance and its significance for the functional outcome, as well as the impact of proximal femoral fractures on patients' one-year independence. Condition or disease Intervention/treatment Proximal Femoral Fracture Procedure: surgery for pertrochanteric femoral fracture Procedure: surgery for femoral neck fracture Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 1200

2018 Clinical Trials

32. Gaps and opportunities in the management of the young femoral neck fracture. (Abstract)

and physical function. Osteonecrosis remains a problem, affecting up to half of patients who sustain femoral neck fractures. Achieving reliable healing may require a reconsideration of fracture fixation implants as well as biological methods to address metabolic, endocrine, and/or genetic abnormalities that may be present in the young adult femoral neck fracture patient. Also, prevention of low-energy femoral neck fractures (e.g. stress fracture) remains an area ripe for investigation. Copyright © 2014 (...) Gaps and opportunities in the management of the young femoral neck fracture. Femoral neck fractures in young adults are difficult to treat. There are substantial gaps in our knowledge regarding treatment and prevention of young adult femoral neck fractures. Avoiding malunion or nonunion of these fractures after fixation remains a challenge. Currently available fixation techniques may allow for healing to occur, but in a shortened position, with negative consequences on gait mechanics

2015 Injury

33. Reply to the Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures Full Text available with Trip Pro

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

2014 Clinical Orthopaedics and Related Research

34. Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures Full Text available with Trip Pro

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

2014 Clinical Orthopaedics and Related Research

35. 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. Full Text available with Trip Pro

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

2017 Osteoporosis International

36. 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

37. 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

38. 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

39. Femoral Neck Stress and Insufficiency Fractures (Overview)

Femoral Neck Stress and Insufficiency Fractures (Overview) 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

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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