How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

557 results for

Femoral Neck Stress Fracture

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

461. Urological Management in Neurological Disease (Diagnosis)

the spinal canal. Previous Next: Iatrogenic Voiding Dysfunction Whereas a painless atonic neurogenic or motor paralytic bladder can be caused by peripheral neuropathy of diabetes or alcoholism, it can also be the result of trauma or pelvic surgery. In rare cases, pudendal nerves are injured after orthopedic surgery for femoral fractures. Amarenco et al reported 6 cases of pudendal nerve traction after orthopedic surgery in which bladder function was not involved, but the patients did experience genital (...) after pelvic or spinal cord trauma and spinal stenosis potentially affecting the cauda equina or conus. Occasionally, needle EMG may be used to evaluate pelvic pain syndromes. EMG is usually not performed in cases of stress urinary incontinence or cases in which a central nervous system (CNS) lesion is producing the incontinence. Muscle fibers in the periurethral striated muscle are predominantly type Ia, the slow-twitch, fatigue-resistant fibers. The rhabdosphincter fibers are generally smaller

2014 eMedicine.com

462. Therapeutic Injections for Pain Management (Diagnosis)

can be identified by median branch nerve blocks and then ameliorated with radio-frequency neurotomy or chemical neurolysis. New technologies have evolved, such as the use of spinal cord stimulators and a host of intradiskal procedures, including electrothermal coagulation, percutaneous mechanical disk decompression, laser disc decompression and radiofrequency intradiskal/annular neurolysis. Other new treatment methods include vertebroplasty and kyphoplasty for vertebral fractures. Fluoroscopy (...) and treatment of musculoskeletal disorders. Bursae are fluid-filled sacs that facilitate smooth movement between articulating structures. Subcutaneous bursae, such as the olecranon and prepatellar bursae, form in response to normal external friction. Deep bursae, such as the subacromial bursa, form in response to movement between muscles and bones and may or may not communicate with adjacent joint cavities. "Adventitious" bursae form in response to abnormal shearing stresses (eg, over first metatarsal head

2014 eMedicine.com

463. The Approach to the Painful Joint (Diagnosis)

of the synovium. Bacterial products released within the joint are capable of producing rapid cartilage destruction. Structural or mechanical joint derangement Degeneration of the articular cartilage is the principal pathologic feature of osteoarthritis. [ ] It occurs in response to both local and host factors. Local factors include the following: Previous joint trauma (eg, meniscal tears) Congenital or developmental joint alterations (eg, congenital hip dysplasia and slipped capital femoral epiphysis (...) in response to synovial inflammation, trauma, anasarca, intra-articular hemorrhage (hemarthrosis), or an adjacent focus of acute inflammation (sympathetic effusion). These are detected by performing fluid ballottement or cross-fluctuation through the synovial cavity. Pain throughout the whole range of motion is observed in a person with an acutely inflamed joint. Pain experienced as the joint is gently forced (ie, stressed) towards its limitation of range is suggestive of synovitis. Pain not present

2014 eMedicine.com

464. Temporal (Giant Cell) Arteritis (Diagnosis)

may have a role (see ). One school of thought considers GCA and to be different manifestations of the same disease process, while others see them as closely related but different diseases. [ , ] Common signs and symptoms of GCA reflect the involvement of the temporal artery and other medium-sized arteries of the head and the neck and include visual disturbances, headache, jaw claudication, neck pain, and scalp tenderness. Constitutional manifestations, such as fatigue, malaise, and fever, may also (...) infarction (MI) Less often, the descending aorta and mesenteric, renal, iliac, and femoral arteries can be affected, with attendant complications of intestinal infarction, renal infarction, crural infarction, and ischemic mononeuropathies [ , ] Pulmonary arterial involvement has also been described Some veins may be affected occasionally The most common cause of vision loss in GCA is anterior ischemic optic neuropathy (AION). This results from ischemia of the optic nerve head, which is supplied mainly

2014 eMedicine.com

465. Female Athlete Triad (Diagnosis)

counterparts. However, those who have the triad or portions of it are more susceptible to multiple fractures, and they are also more likely to sustain fractures in larger, less commonly affected bones (eg, femoral neck, pelvis, and vertebrae). Other physiologic dysfunction Ongoing research is looking at athletes diagnosed with the female athlete triad and the link to many other psychological and physiological dysfunctions affecting the cardiovascular, renal, hepatic, gastrointestinal, endocrine (...) also occur in the nonathletic population. However, even though this triad was first described at the 1993 meeting of the American College of Sports Medicine (ACSM), [ , ] associations between bone mineral density (BMD), stress fractures, eating disorders, and female athletics had been observed for decades before the syndrome was formally named. The components of the female athlete triad, as put forth by the 1997 ACSM positional stand, consisted of disordered eating, , and . [ ] Not all patients

2014 eMedicine.com

466. Giant Cell Arteritis (Diagnosis)

may have a role (see ). One school of thought considers GCA and to be different manifestations of the same disease process, while others see them as closely related but different diseases. [ , ] Common signs and symptoms of GCA reflect the involvement of the temporal artery and other medium-sized arteries of the head and the neck and include visual disturbances, headache, jaw claudication, neck pain, and scalp tenderness. Constitutional manifestations, such as fatigue, malaise, and fever, may also (...) infarction (MI) Less often, the descending aorta and mesenteric, renal, iliac, and femoral arteries can be affected, with attendant complications of intestinal infarction, renal infarction, crural infarction, and ischemic mononeuropathies [ , ] Pulmonary arterial involvement has also been described Some veins may be affected occasionally The most common cause of vision loss in GCA is anterior ischemic optic neuropathy (AION). This results from ischemia of the optic nerve head, which is supplied mainly

2014 eMedicine.com

467. Geriatric Rehabilitation (Diagnosis)

and mobility, and a lack of participation in activities. Vision, proprioception, and vestibular function are the 3 main components of sensory feedback to maintain normal upright stance. Therefore, a loss of vision is associated with an increased risk of falling with a consequent increased risk of hip fractures. The patient's mental health can also deteriorate with vision loss, and the effects can include depressive episodes. Social isolation, in which the person feels left out and lonely, can lead (...) with ambulation, transferring, meal preparation, and managing their medication regimen. According to the 1999 Surveillance for the Sensory Impaired study, older adults who reported vision and hearing loss were more likely than those without sensory impairment to have had the following: (1) a fall during the preceding year (37.4% vs 19.8%), (2) a hip fracture (7.6% vs 4.5%), (3) a higher reported prevalence of hypertension (53.4% vs 44.3%), and (4) a higher rate of heart disease (32.2% vs 20.6%). In addition

2014 eMedicine.com

468. Perioperative Management of the Geriatric Patient

surgery for femoral neck fractures or bilateral knee replacements, delirium occurs in up to 61% of elderly patients. Several studies have found no difference in the effects of general, epidural, or spinal anesthesia on postoperative delirium rates if medications are controlled for in the analysis. Intraoperative meperidine use increases the risk of delirium by 2-7 times that of other opioids. Intraoperative use of barbiturates and long-acting benzodiazepines also increases the risk of postoperative (...) is an extreme predictor of poor outcome, with surgical mortality rates increased by 52%. Social support systems are also important predictors of surgical outcome. Physical examination A careful physical examination is necessary. The skin, oral mucosa, and tongue can provide information about hydration and nutrition. The neck should be examined for lymph nodes, thyroid masses, carotid pulsations, and bruits. Blood pressure should be measured, and the heart, lungs, and breasts should be examined. The abdomen

2014 eMedicine.com

469. Adult Physiatric History and Examination (Diagnosis)

of children with acquired brain injuries. Child Care Health Dev . 2009 May 4. . VanWye WR. Patient screening by a physical therapist for nonmusculoskeletal hip pain. Phys Ther . 2009 Mar. 89(3):248-56. . Cooperman TJ, Cuccurullo S, Tanenbaum L, et al. Diagnosis of a C-2 fracture during physiatric consultation: a case report. Am J Phys Med Rehabil . 1998 May-Jun. 77(3):262-6. . Scott MP, Finnoff JT, Davis BA. Femoral neck stress fracture presenting as gluteal pain in a marathon runner: case report. Arch (...) to the emergency department with severe right hip pain that occurred immediately after she fell in her home. Radiographic films confirm a femoral neck fracture, and she undergoes a partial hip replacement (hemiarthroplasty). Because she lives alone, the case manager/social worker for the orthopedics service requests a consultation with physiatrist. Her medical history is significant for rheumatoid arthritis and phlebitis. Review of systems demonstrates a history of falls. She has not had a bowel movement since

2014 eMedicine.com

470. Groin Injury (Diagnosis)

, in joggers or military recruits), although additional risk factors include relative in young female athletes secondary to or hormonal imbalances, muscle fatigue, changes in foot gear and training, or changes in intensity and/or duration of training. [ ] Stress fractures in the groin or hip can be difficult to diagnose and treat; these injuries most commonly occur at the femoral neck and inferior pubic ramus. Femoral neck stress fractures are especially troublesome because they may lead to AVN (...) of groin injuries. Plain radiographs may show established osteitis pubis, a stress fracture (later stages), osteomyelitis (later stages), a slipped femoral epiphysis (epiphysiolysis), or osteoarthritis. Plain radiographs are useful in demonstrating the presence of hip abnormalities; one study found that 72% of male and 50% of female athletes evaluated with plain radiography demonstrated some evidence of radiographic hip abnormality, such as cam and pincer lesions associated with femoroacetabular

2014 eMedicine.com

471. Giant Cell Arteritis (Diagnosis)

may have a role (see ). One school of thought considers GCA and to be different manifestations of the same disease process, while others see them as closely related but different diseases. [ , ] Common signs and symptoms of GCA reflect the involvement of the temporal artery and other medium-sized arteries of the head and the neck and include visual disturbances, headache, jaw claudication, neck pain, and scalp tenderness. Constitutional manifestations, such as fatigue, malaise, and fever, may also (...) infarction (MI) Less often, the descending aorta and mesenteric, renal, iliac, and femoral arteries can be affected, with attendant complications of intestinal infarction, renal infarction, crural infarction, and ischemic mononeuropathies [ , ] Pulmonary arterial involvement has also been described Some veins may be affected occasionally The most common cause of vision loss in GCA is anterior ischemic optic neuropathy (AION). This results from ischemia of the optic nerve head, which is supplied mainly

2014 eMedicine.com

472. Sickle Cell Anemia (Overview)

: Young children present with chest pain, fever, cough, tachypnea, leukocytosis, and pulmonary infiltrates in the upper lobes; adults are usually afebrile, dyspneic with severe chest pain, with multilobar/lower lobe disease Pulmonary hypertension: Increasingly recognized as a serious complication of SCD Avascular necrosis of the femoral or humeral head: This is due to vascular occlusion CNS involvement: Most severe manifestation is stroke Ophthalmologic involvement: Ptosis, retinal vascular changes (...) ) CSF examination: Consider LP in febrile children who appear toxic and in those with neurologic findings (eg, neck stiffness, + Brudzinski/Kernig signs, focal deficits); consider CT scanning before performing LP Blood cultures ABGs Secretory phospholipase A2 (sPLA2) In one study of 38 asymptomatic children with SCD, investigators found that hypertension and abnormal blood pressure patterns were prevalent in children with SCD. [ ] They suggested using 24-hour ambulatory BP monitoring (ABPM

2014 eMedicine Pediatrics

473. Bone Marrow Transplantation, Long-Term Effects (Treatment)

conditioned with and cyclophosphamide without TBI experienced severe ovarian failure that required estrogen replacement. [ ] This stresses the importance of both TBI and alkylating agents in the etiology of ovarian failure in females undergoing HSCT. Ovarian failure or premature menopause often manifests with high levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) with or without decreased estrogen levels, although all eventually progress to a low-estrogen state. Measurements (...) of antimullerian hormone (AMH) may be useful in assessing ovarian reserve. [ ] Similar to postmenopausal women with low estrogen levels, females who experience acute ovarian failure or premature menopause following HSCT seem to be at risk for early reduced bone mineral density, [ ] bone fractures, [ ] lipid disorders, and ischemic heart disease. [ , , ] Use of steroids and radiotherapy can potentiate the risk of reduced bone mineral density. Ovarian failure after HSCT responds well to estrogen replacement

2014 eMedicine Pediatrics

474. Ibuprofen Supplementation After Resistance Training and Its Effects on Bone in Older Women

by dual energy x-ray absorptiometry Secondary Outcome Measures : change from baseline in femoral neck section modulus at 9 months [ Time Frame: baseline and 9 months ] femoral neck section modulus assessed by dual energy x-ray absorptiometry change from baseline in distal radius Bone Strength Index at 9 months [ Time Frame: baseline and 9 months ] distal radius Bone Strength Index assessed by high resolution peripheral quantitative computed tomography change from baseline in radial shaft Stress Strain (...) , there is a significant decrease in bone mineral, muscle mass, and strength, which increases the risk of falls, injuries and fracture especially for women. Direct and indirect health costs associated with osteoporosis and sarcopenia (defined as "muscle wasting") are in the billions of dollars and escalating as the proportion of older adults in Canada grows. Low-grade inflammation is a main contributing factor to bone and muscle deterioration with aging but is mitigated by anti-inflammatory drug use. Recent evidence

2013 Clinical Trials

475. Aberrant CpG Islands' Hypermethylation of ABCB1 in Mesenchymal Stem Cells of Patients with Steroid-associated Osteonecrosis. (Abstract)

with glucocorticoid (GC)-associated ONFH (n = 22) and patients with new femoral neck fractures (n = 25). MSC were isolated by density gradient centrifugation. We investigated cell viability, intracellular reactive oxygen species (ROS) level, mitochondrial membrane potential (MMP), the amount of P-glycoprotein (P-gp) and ABCB1 transcripts, and methylation at CpG islands of ABCB1 promoter from both the femoral neck fractures group and the GC-associated ONFH group treated with or without the DNA methyltransferase (...) Aberrant CpG Islands' Hypermethylation of ABCB1 in Mesenchymal Stem Cells of Patients with Steroid-associated Osteonecrosis. Patients carrying an ABCB1 polymorphism have a higher risk of developing osteonecrosis of the femoral head (ONFH). We investigated whether aberrant dinucleotide CpG islands' hypermethylation of ABCB1 gene existed in mesenchymal stem cells (MSC) of patients with ONFH, which results in cell dysfunction.Bone marrow was collected from the proximal femur of patients

2013 Journal of Rheumatology

476. Hip Structural Analysis in Adolescent and Young Adult Oligoamenorrheic and Eumenorrheic Athletes and Nonathletes. Full Text available with Trip Pro

Hip Structural Analysis in Adolescent and Young Adult Oligoamenorrheic and Eumenorrheic Athletes and Nonathletes. Stress fractures are common in endurance athletes. Whereas studies have described distal tibia bone structure in athletes, there are few data regarding hip geometric parameters. Hip structural analysis (HSA) using dual-energy x-ray absorptiometry is a validated technique to assess hip bone structure.The purpose of this study was to compare hip geometry in young oligoamenorrheic (...) aBMD Z-scores were lower in AAs and in nonathletes than in EAs (P = .002). A larger proportion of AAs than EAs and nonathletes had hip Z-scores <-1 (30.9, 4.2, 17.4%, P = .01). At the narrow neck, trochanteric region, and femoral shaft, subperiosteal width, cross-sectional moment of inertia, and section modulus were higher in EAs than in nonathletes; values in AAs did not differ from those of nonathletes. Cross-sectional area was lower in AAs and in nonathletes than in EAs. Groups did not differ

2013 Journal of Clinical Endocrinology and Metabolism

477. Bone mineral density, quantitative ultrasound parameters and bone metabolism in postmenopausal women with depression. (Abstract)

Bone mineral density, quantitative ultrasound parameters and bone metabolism in postmenopausal women with depression. Low bone mineral density, which increases the risk of stress fragility fractures, is a frequent, often persistent finding in patients with major depressive disorder (MDD). The clinical association between major depressive disorder and osteopenia is still unclear, although several factors are associated with a loss of bone mass. The aim of our study, therefore, was to evaluate (...) . Bone mineral density of the lumbar spine (BMD: 0.72 ± 0.06 vs. 0.82 ± 0.09 g/cm(2), p < 0.001), femoral neck (BMD: 0.58 ± 0.04 vs. 0.71 ± 0.07 g/cm(2), p < 0.001) and total femur (BMD 0.66 ± 0.09 vs. 0.54 ± 0.06 g/cm(2), p < 0.001); and ultrasound parameters at calcaneus (SI: 81.30 ± 6.10 vs. 93.80 ± 7.10, p < 0.001) and phalanges (AD-SOS: 1915.00 ± 37.70 vs. 2020.88 ± 39.46, p < 0.001; BTT : 1.30 ± 0.8 vs. 1.45 ± 0.9, p < 0.001) are significantly lower in patients with MDD compared with controls

2013 Internal and emergency medicine

478. Postoperative Recovery in Elderly Patients Undergoing Hip Hemi-arthroplasty

the bodies response to stress. The sedation produced by dexmedetomidine appears more similar to natural sleep than any other drug used for anesthesia and postoperative sedation. Data suggesting that dexmedetomidine can prevent delirium following cardiac surgery and the developing understanding of the causes of PD and POCD suggest that dexmedetomidine will be particularly effective. Condition or disease Intervention/treatment Phase Femoral Neck Fractures Postoperative Complications Inflammatory Response (...) With Femoral Neck Fracture Undergoing Hip Hemi-arthroplasty Study Start Date : September 2013 Estimated Primary Completion Date : February 2014 Estimated Study Completion Date : June 2014 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Dexmedetomidine Dexmedetomidine in dex group is administered as 1ug/kg by intravenous infusion 10 min and then 0.6 ug/kg until 30 minutes before

2013 Clinical Trials

479. Should I Have Meniscus Surgery?

after the incident. I do get sore if I walk more than 3 miles. I also wearing a brace to reduce the stress on my knee. However my concern is that should I go for arthroscopic knee surgery to shave off the vertical tear and add micro-fracture of the medical femoral condyle? The surgeon has recommended surgery and I feel a bit hesitant to go for immediate surgery and find some alternative instead. I am trying to find out what is the best course of action. Thanks Tim says: Tim, Unfortunately you fit (...) will explore what a meniscus is, what are meniscus tears, why meniscus tears are so common Meniscus Tears It is a cartilage disk that’s found in the knee. Normal appearance of a meniscus, the “C” shaped disc between the two bones. There are actually two of them. We have one on the inner side of the knee which we call the medial meniscus and one on the outer side of the knee which we call the lateral meniscus. These two disks function as shock absorbers or cushions to minimize the stress on another type

2016 Howard J. Luks, MD blog

480. Sex Differences of Hip Morphology in Young Adults With Hip Pain and Labral Tears. (Abstract)

), (7) neuromuscular disease (i.e., cerebral palsy), and (8) deformities related to Legg-Calvé-Perthes disease or developmental dysplasia of the hip. Therefore, the cohort study group included 105 (61%) men (123 [62.4%] hips) and 67 (39%) women (74 [37.6%] hips). Sex comparisons were made for the following variables measured on preoperative hip computed tomography scans: alpha angle, acetabular version, femoral version, lateral center-edge angle, and neck-shaft angle.Women had smaller alpha angles (...) (47.8°v 63.6°, P < .001), increased acetabular version (17.3°v 13.9°, P < .001), and increased femoral anteversion (14.4°v 12.1°, P = .05).In young adults with hip pain and labral tears, women have smaller alpha angles and hips that are generally more anteverted. Therefore, in women, cam lesions may be more subtle, preoperative hip version analyses should be encouraged, and rim trimming may need to be cautiously planned to avoid increasing contact stresses at weight-bearing areas after

2012 Arthroscopy

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>