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Femoral Neck Stress Fracture

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61. A curious case of stress fracture in a transsexual athlete (PubMed)

A curious case of stress fracture in a transsexual athlete Femoral neck stress fractures in young healthy individuals are rare and occur in those who take part in physical training with repetitive loading and those with osteoporosis. Bone density is related to sex hormone status, which is artificially manipulated during gender reassignment. Conflicting evidence currently exists on the effect of cross sex hormone treatment on bone density, with no literature suggesting a link between hormone (...) treatment in gender reassignment and stress fractures. Our aim is to highlight the potential risk of stress fractures amongst transsexual patients receiving cross sex hormones as part of gender reassignment. The patient presented with groin pain after competing in a running event. Despite a number of risk factors, there was a delay in diagnosis, which could have led to complications compromising outcome. Femoral neck stress fractures should be considered in the differential diagnosis of transsexual

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2016 BMJ case reports

62. Stress Fracture

. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK. Concepts Injury or Poisoning ( T037 ) MSH ICD10 SnomedCT 23382007 , 240197007 , 269322004 , 208682007 , 157252004 , 208743001 , 263253007 English Fatigue Fracture , Fatigue Fractures , Fracture, Fatigue , Fractures, Fatigue , Fractures, March , Fractures, Stress , March Fracture , March Fractures , Fracture, March , Fracture, Stress , [Q] Stress fracture , stress fracture (diagnosis) , stress fracture , [Q (...) Stress Fracture 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 Stress Fracture Stress Fracture Aka: Stress Fracture

2018 FP Notebook

63. Metatarsal Stress Fracture

predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK. Concepts Injury or Poisoning ( T037 ) MSH ICD10 SnomedCT 23382007 , 240197007 , 269322004 , 208682007 , 157252004 , 208743001 , 263253007 English Fatigue Fracture , Fatigue Fractures , Fracture, Fatigue , Fractures, Fatigue , Fractures, March , Fractures, Stress , March Fracture , March Fractures , Fracture, March , Fracture, Stress , [Q] Stress fracture , stress fracture (diagnosis (...) Metatarsal Stress Fracture Metatarsal 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 Metatarsal Stress Fracture

2018 FP Notebook

64. Unusual presentation of a femoral stress fracture (PubMed)

Unusual presentation of a femoral stress fracture Stress fractures are common injuries in sports medicine. Among these fractures, femoral neck stress fractures frequently have a benign course, especially when it happens in the medial aspect of the neck. This case report describes a stress fracture of the medial aspect of the femoral neck that developed a complete fracture and underwent surgical fixation.

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2013 BMJ case reports

65. Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update from the American College of Physicians

and in men aged 50 years or older is a femoral neck BMD of 2.5 SD or more below the young female adult mean ( ). Low BMD as measured by DXA is an imperfect predictor of fracture risk, identifying less than one half of the people who go on to have an osteoporotic fracture. Bone density can also be classified according to the Z score, the number of SD above or below the expected BMD for the patient's age and sex. A Z score of –2.0 or lower is defined as either “low BMD for chronological age” or “below (...) the various therapies ( ). Benefits of Treatment for Fracture Risk Reduction in Individuals With Different Fracture Risks Bone Mineral Density Moderate-quality evidence from post hoc analysis of 1 RCT showed that low femoral neck BMD did not predict the effect of alendronate on clinical vertebral or nonvertebral fracture risk ( ). FRAX Risk Assessment Moderate-quality evidence from post hoc analysis of 1 RCT showed no significant interaction between fracture risk as assessed by FRAX and the efficacy

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2017 American College of Physicians

66. Australian and New Zealand Guideline for Hip Fracture Care - Improving Outcomes in Hip Fracture Management of Adults

-based recommendation Schedule hip fracture surgery on a planned list or planned trauma list where an appropriately skilled team is available to undertake the procedure. - 4.2 Operative intervention Evidence-based recommendation Perform replacement arthroplasty (hemiarthroplasty or total hip replacement) in patients with a displaced intracapsular fracture. C 5.1 Consensus-based recommendation Use a femoral stem design other than Austin Moore or Thompson stems for arthroplasties. - 5.1 Evidence-based (...) Australian and New Zealand Guideline for Hip Fracture Care - Improving Outcomes in Hip Fracture Management of Adults Australian and New Zealand Guideline for Hip Fracture Care Improving Outcomes in Hip Fracture Management of Adults September 2014© Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering Group 2014 ISBN Print: 978-0-7334-3450-1 ISBN Online: 978-0-7334-3451-8 Published: September 2014 Suggested citation: Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering

2014 Clinical Practice Guidelines Portal

67. Changes in the stress in the femoral head neck junction after osteochondroplasty for hip impingement: A finite element study. (PubMed)

Changes in the stress in the femoral head neck junction after osteochondroplasty for hip impingement: A finite element study. The surgical treatment of femoroacetabular impingement (FAI) often involves femoral osteochondroplasty. One risk of this procedure is fracture of the femoral neck. We developed a finite element (FE) model to investigate the relationship between depth of resection and femoral neck stress. CT data were used to obtain the geometry of a typical cam-type hip, and a 3D FE (...) Mises stresses and the area of bone that yielded significantly increased at a resection depth of ≥10 mm. The knee bend and walking down stairs demonstrated the highest stresses. The FE model predicts that fracture is likely to occur in the resection area first following removal of a third (10 mm) or more of the diameter of the femoral neck. We suggest that when surgeons perform osteochondroplasty for hip impingement, the depth of resection should be limited to 10 mm.Copyright © 2012 Orthopaedic

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2012 Journal of Orthopaedic Research

68. Burnei’s technique of femoral neck variation and valgisation by using the intramedullary rod in Osteogenesis imperfecta (PubMed)

Burnei’s technique of femoral neck variation and valgisation by using the intramedullary rod in Osteogenesis imperfecta Varus or valgus deviations of the femoral neck in osteogenesis imperfecta have been an ignored chapter because the classic correction procedures were applied in medical practice with unsatisfying results. Until the use of telescopic rods, coronal deviations remained unsolved and the distal configuration of the proximal femoral extremity remained uncorrected or partially (...) articles in literature, which approach corrections of vara or valgus deviations in osteogenesis imperfecta. Some of them are the techniques described by Finidori, Wagner and Fassier.Burnei's technique is simple; it corrects the varus and valgus deviations concomitantly with Sofield-Millar. Even though only a telescopic rod is used, no stress fractures were seen postoperatively, deviation recurrence or assembly loss.

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2014 Journal of medicine and life

69. 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

2015 FP Notebook

70. Biplane double-supported screw fixation (F-technique): a method of screw fixation at osteoporotic fractures of the femoral neck (PubMed)

Biplane double-supported screw fixation (F-technique): a method of screw fixation at osteoporotic fractures of the femoral neck The present work introduces a method of screw fixation of femoral neck fractures in the presence of osteoporosis, according to an original concept of the establishment of two supporting points for the implants and their biplane positioning in the femoral neck and head. The provision of two steady supporting points for the implants and the highly increased (obtuse (...) ) angle at which they are positioned allow the body weight to be transferred successfully from the head fragment onto the diaphysis, thanks to the strength of the screws, with the patient's bone quality being of least importance. The position of the screws allows them to slide under stress with a minimal risk of displacement. The method was developed in search of a solution for those patients for whom primary arthroplasty is contraindicated. The method has been analysed in relation to biomechanics

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2011 European Journal of Orthopaedic Surgery & Traumatology

71. Pathological fractures of the femoral neck (PubMed)

Pathological fractures of the femoral neck In a review of subcapital fractures due to metastases in the femoral neck it was found that in the majority of cases pain in the region of the hip developed a few days prior to fracture. While the majority of subcapital fractures are sustained as the result of a single incident of trauma, in cases with metastases trabecular stress fractures occur in increasing numbers until finally femoral neck fracture occurs. It would seem that once a critical number (...) of trabecular stress fractures has been reached the patient develops pain. Immediate radiologic examination should be performed, and if there is evidence of bone destruction approaching 50% of the cortex, prophylactic hip pinning is strongly indicated.

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1974 Canadian Medical Association Journal

72. A micro-architectural evaluation of osteoporotic human femoral heads to guide implant placement in proximal femoral fractures. (PubMed)

A micro-architectural evaluation of osteoporotic human femoral heads to guide implant placement in proximal femoral fractures. The micro-architecture of bone has been increasingly recognized as an important determinant of bone strength. Successful operative stabilization of fractures depends on bone strength. We evaluated the osseous micro-architecture and strength of the osteoporotic human femoral head.6 femoral heads, obtained during arthroplasty surgery for femoral neck fracture, underwent (...) micro-computed tomography (microCT) scanning at 30 μm, and bone volume ratio (BV/TV), trabecular thickness, structural model index, connection density, and degree of anisotropy for volumes of interest throughout the head were derived. A further 15 femoral heads underwent mechanical testing of compressive failure stress of cubes of trabecular bone from different regions of the head.The greatest density and trabecular thickness was found in the central core that extended from the medial calcar

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2013 Acta Orthopaedica

73. The effects of necrotic lesion size and orientation of the femoral component on stress alterations in the proximal femur in hip resurfacing - a finite element simulation. (PubMed)

The effects of necrotic lesion size and orientation of the femoral component on stress alterations in the proximal femur in hip resurfacing - a finite element simulation. Due to the advantages of its bone-conserving nature, hip resurface arthroplasty (HRA) has recently gained the interest of orthopedic surgeons for the treatment of young and active patients who have osteonerosis of the femoral head. However, in long-term follow-up studies after HRA, narrowing of the femoral neck has often been (...) implant insertion angles (varus 10°, neutral, valgus 10°) were created. The von Mises stress distributions and the displacement of the stem tip of each model were analyzed and compared for loading conditions that simulated a single-legged stance.Stress shielding occurred at the femoral neck after HRA. More severe stress shielding and an increased displacement of the stem tip were found for femoral heads that had a wider necrotic lesion. From a biomechanics perspective, the results were consistent

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2014 BMC Musculoskeletal Disorders

74. Management of osteoporosis and the prevention of fragility fractures

by fractures and osteoporosis and their carers may also find the guideline to be of interest. 1.2.3 DEFINITIONS Osteoporosis is defined as a syndrome associated with low bone mass and microarchitectural deterioration of bone tissue which lead to an increased risk of fractures. 3 The World Health Organization (WHO) has defined osteoporosis to exist in postmenopausal women or men when axial bone density T-score (measured by dual-energy X-ray absorptiometry (DXA)) at the femoral neck falls 2.5 standard (...) deviations (SD) or more below the average value in young healthy women (T-score = -2.5 SD). 4,5 The International Society for Clinical Densitometry has published an Official Position which states that osteoporosis may be diagnosed in postmenopausal women and in men aged 50 and older if the T-score of the lumbar spine, total hip, or femoral neck is -2.5 or less. 6 Although the risk of fractures is substantially increased in people with osteoporosis, about two thirds of non-vertebral fractures occur

2015 SIGN

75. Stress fractures of the neck of the femur. (PubMed)

Stress fractures of the neck of the femur. 5525850 1972 08 09 2018 11 13 0041-6193 39 2 1970 The Ulster medical journal Ulster Med J Stress fractures of the neck of the femur. 111-8 Parks T G TG Baird D S DS Wilson R I RI eng Journal Article Northern Ireland Ulster Med J 0417367 0041-6193 IM Adult Aged Arthritis, Rheumatoid complications Female Femoral Neck Fractures complications diagnostic imaging etiology Humans Male Middle Aged Osteoporosis complications Radiography Stress, Physiological

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1970 The Ulster medical journal

76. Fundamental differences in axial and appendicular bone density in stress fractured and uninjured Royal Marine recruits--a matched case-control study. (PubMed)

, body size and physical fitness; and poor sample size. The aim of this study was to investigate bone differences between male Royal Marine recruits who suffered a stress fracture during the 32 weeks of training and uninjured control recruits, matched for age, body weight, height and aerobic fitness. A total of 1090 recruits were followed through training and 78 recruits suffered at least one stress fracture. Bone mineral density (BMD) was measured at the lumbar spine (LS), femoral neck (FN (...) Fundamental differences in axial and appendicular bone density in stress fractured and uninjured Royal Marine recruits--a matched case-control study. Stress fracture is a common overuse injury within military training, resulting in significant economic losses to the military worldwide. Studies to date have failed to fully identify the bone density and bone structural differences between stress fractured personnel and controls due to inadequate adjustment for key confounding factors; namely age

2015 Bone

77. Are Women with Thicker Cortices in the Femoral Shaft at Higher Risk of Subtrochanteric/Diaphyseal Fractures? The Study of Osteoporotic Fractures. (PubMed)

Are Women with Thicker Cortices in the Femoral Shaft at Higher Risk of Subtrochanteric/Diaphyseal Fractures? The Study of Osteoporotic Fractures. Femoral shaft cortical thickening has been mentioned in reports of atypical subtrochanteric and diaphyseal (S/D) femur fractures, but it is unclear whether thickening precedes fracture or results from a preceding stress fracture and what role bisphosphonates might play in cortical thickening.Our objective was to examine the relationship of cortical (...) thickness to S/D fracture risk as well as establish normal reference values for femoral cortical thickness in a large population-based cohort of older women.Using pelvic radiographs obtained in 1986-1988, we measured femoral shaft cortical thickness 3 cm below the lesser trochanter in women in the Study of Osteoporotic Fractures. We measured this in a random sample and in those with S/D fractures and femoral neck and intertrochanteric fractures. Low-energy S/D fractures were identified from review

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2012 Journal of Clinical Endocrinology and Metabolism

78. Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases. (PubMed)

Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases. Stress fractures have been reported to occur in the pubis, femoral neck, proximal part of the tibia, and fabella during the postoperative period following total knee or total hip arthroplasty. However, to our knowledge, calcaneal stress fractures after total hip or total knee arthroplasty have not been reported in the English-language literature. Most orthopaedic surgeons (...) are not familiar with calcaneal stress fractures that may occur in elderly patients after a total knee or total hip arthroplasty.We retrospectively reviewed the clinical features, imaging findings, and bone mineral content of the proximal part of the femur and the distal end of the radius in five patients who had a calcaneal stress fracture after a total knee or total hip arthroplasty.All patients were women with a mean age of 76.8 years. All fractures occurred in the calcaneus on the same side

2014 The Journal of Bone and Joint Surgery. American Volume

79. Femoral Stem Fracture and In Vivo Corrosion of Retrieved Modular Femoral Hips. (PubMed)

Femoral Stem Fracture and In Vivo Corrosion of Retrieved Modular Femoral Hips. A series of 78 retrieved modular hip devices were assessed for fretting and corrosion. Damage was common at both the head-neck junction (54% showing corrosion; 88% showing fretting) and at the stem-sleeve junction (88% corrosion; 65% fretting). Corrosion correlated to in vivo duration, patient activity, and metal (vs ceramic) femoral heads but did not correlate to head carbon content. Femoral stem fatigue fracture (...) was observed in seven retrievals; all had severe corrosion, were under increased stress, and were in vivo longer than the non-fractured cohort. This study emphasizes the potential for stem fracture when small diameter femoral stems with large offsets are used in heavy and active patients. Designs which reduce fretting and corrosion in modular implants is warranted as patients demand longer lasting implants.Copyright © 2012 Elsevier Inc. All rights reserved.

2011 Journal of Arthroplasty

80. Stress Fractures (Overview)

decreased activity and immobilization; however, patients with some stress fractures, such as displaced femoral neck stress fractures and fifth metatarsal base stress fractures, are more likely to have complications such as nonunion. [ , ] These complications should be monitored closely because surgical intervention may be necessary. Next: Pathophysiology Stress fractures result from recurrent and repetitive loading of bone. The stress fracture differs from other types of fractures in that in most cases (...) . . Welck MJ, Hayes T, Pastides P, Khan W, Rudge B. Stress fractures of the foot and ankle. Injury . 2017 Aug. 48 (8):1722-1726. . . Joshi A, Kc BR, Shah BC, Chand P, Thapa BB, Kayastha N. Femoral neck stress fractures in military personnel. JNMA J Nepal Med Assoc . 2009 Apr-Jun. 48(174):99-102. . Taimela S, Kujala UM, Orava S. Two consecutive rib stress fractures in a female competitive swimmer. Clin J Sport Med . 1995 Oct. 5(4):254-6; discussion 257. . Lee AD. Golf-related stress fractures

2014 eMedicine Surgery

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