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Femoral Neck Stress Fracture

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

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

82. Osteoporosis - prevention of fragility fractures

vertebral fractures may occur spontaneously, or as a result of routine activities such as bending or lifting. Osteoporosis is defined by the World Health Organization as a bone mineral density (BMD) of 2.5 standard deviations below the mean peak mass (average of young healthy adults) as measured by dual-energy X-ray absorptiometry (DXA) applied to the femoral neck and reported as a T-score. However, BMD measurement does not assess the structural deterioration in bone and consequently, most osteoporotic (...) fracture risk in people over 75 years of age compared with . Arranging a DXA scan The recommendation to measure BMD by DXA at the spine and hip following fracture risk assessment is based on: Evidence that measurement of BMD at the lumbar spine, femoral neck, total hip, and wrist have been shown to predict future fracture occurrence [ ]. A lack of evidence to support bone-sparing treatment based solely on high fracture risk (without DXA to confirm the presence of osteoporosis) to reduce fracture risk

2016 NICE Clinical Knowledge Summaries

83. Stress Fracture (Overview)

injuries description of an under-recognized injury problem among military personnel. Am J Prev Med . 2010 Jan. 38(1 Suppl):S61-70. . Evans JT, Guyver PM, Kassam AM, Hubble MJ. Displaced femoral neck stress fractures in Royal Marine recruits--management and results of operative treatment. J R Nav Med Serv . 2012. 98(2):3-5. . Corrarino JE. Stress fractures in runners. Nurse Pract . 2012 Jun 10. 37(6):18-28. . Briskin SM. Injuries and medical issues in softball. Curr Sports Med Rep . 2012 Sep. 11(5):265 (...) DM, Sawyer JR, Warner WC Jr. Use of magnetic resonance imaging in the evaluation of spondylolysis. J Pediatr Orthop . 2015 Apr-May. 35 (3):271-5. . Arendt E, Agel J, Heikes C, Griffiths H. Stress injuries to bone in college athletes: a retrospective review of experience at a single institution. Am J Sports Med . 2003 Nov-Dec. 31(6):959-68. . Ramey LN, McInnis KC, Palmer WE. Femoral Neck Stress Fracture: Can MRI Grade Help Predict Return-to-Running Time?. Am J Sports Med . 2016 Aug. 44 (8):2122-9

2014 eMedicine.com

84. Stress Fracture (Treatment)

of flexibility training and dynamic lumbar spinal stabilization. The program should emphasize pain-free functional progression. Once the athlete can perform sport-specific skills without symptoms, he or she may return to training and competition. Unilateral spondylolysis tends to have a more favorable clinical outcome than bilateral spondylolysis. For a more detailed discussion, see the article . Femoral neck stress fracture Stress fractures of the femoral neck [ , ] can occur either on the superior (...) sufficient for the physician to confirm or exclude the diagnosis. However, MRI, with its sensitivity and high anatomic detail, is being used with increasing frequency. For patients diagnosed with early stress reaction or a nondisplaced stress fracture of the femoral neck, treatment consists of avoidance of weight bearing on the affected lower limb until symptoms resolve. Subsequently, the individual is permitted to resume partial weight bearing as tolerated, progressing over time to unprotected weight

2014 eMedicine.com

85. Stress Fractures (Diagnosis)

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

86. Stress Fracture (Follow-up)

AM, Hubble MJ. Displaced femoral neck stress fractures in Royal Marine recruits--management and results of operative treatment. J R Nav Med Serv . 2012. 98(2):3-5. . Corrarino JE. Stress fractures in runners. Nurse Pract . 2012 Jun 10. 37(6):18-28. . Briskin SM. Injuries and medical issues in softball. Curr Sports Med Rep . 2012 Sep. 11(5):265-71. . Kahanov L, Eberman LE, Games KE, Wasik M. Diagnosis, treatment, and rehabilitation of stress fractures in the lower extremity in runners. Open Access (...) , Heikes C, Griffiths H. Stress injuries to bone in college athletes: a retrospective review of experience at a single institution. Am J Sports Med . 2003 Nov-Dec. 31(6):959-68. . Ramey LN, McInnis KC, Palmer WE. Femoral Neck Stress Fracture: Can MRI Grade Help Predict Return-to-Running Time?. Am J Sports Med . 2016 Aug. 44 (8):2122-9. . Hoffman DF, Adams E, Bianchi S. Ultrasonography of fractures in sports medicine. Br J Sports Med . 2015 Feb. 49 (3):152-60. . Nicola TL, El Shami A. Rehabilitation

2014 eMedicine.com

87. Stress Fracture (Diagnosis)

injuries description of an under-recognized injury problem among military personnel. Am J Prev Med . 2010 Jan. 38(1 Suppl):S61-70. . Evans JT, Guyver PM, Kassam AM, Hubble MJ. Displaced femoral neck stress fractures in Royal Marine recruits--management and results of operative treatment. J R Nav Med Serv . 2012. 98(2):3-5. . Corrarino JE. Stress fractures in runners. Nurse Pract . 2012 Jun 10. 37(6):18-28. . Briskin SM. Injuries and medical issues in softball. Curr Sports Med Rep . 2012 Sep. 11(5):265 (...) DM, Sawyer JR, Warner WC Jr. Use of magnetic resonance imaging in the evaluation of spondylolysis. J Pediatr Orthop . 2015 Apr-May. 35 (3):271-5. . Arendt E, Agel J, Heikes C, Griffiths H. Stress injuries to bone in college athletes: a retrospective review of experience at a single institution. Am J Sports Med . 2003 Nov-Dec. 31(6):959-68. . Ramey LN, McInnis KC, Palmer WE. Femoral Neck Stress Fracture: Can MRI Grade Help Predict Return-to-Running Time?. Am J Sports Med . 2016 Aug. 44 (8):2122-9

2014 eMedicine.com

88. 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

89. Stress Fractures (Treatment)

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: a structured review of the literature. J Can Chiropr Assoc . 2009 Dec. 53(4):290-9. . Karlson KA. Rib stress (...) Sesamoids 0 0 100 Femur, shaft 7 7 86 Femur, neck 0 0 100 Pelvis 0 29 75 Olecranon 0 0 100 *Adapted from Hulkko. [ ] Findings were from a case series of 368 stress fractures in athletes, in which the healing times of stress fractures in different locations were assessed. Next: Surgical Care Surgery for high-risk stress fractures Nonunion of stress fractures is uncommon but can occur. These injuries should be closely followed up for early surgical intervention. They include stress fractures of the neck

2014 eMedicine Surgery

90. Stress Fractures (Follow-up)

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: a structured review of the literature. J Can Chiropr Assoc . 2009 Dec. 53(4):290-9. . Karlson KA. Rib stress (...) Sesamoids 0 0 100 Femur, shaft 7 7 86 Femur, neck 0 0 100 Pelvis 0 29 75 Olecranon 0 0 100 *Adapted from Hulkko. [ ] Findings were from a case series of 368 stress fractures in athletes, in which the healing times of stress fractures in different locations were assessed. Next: Surgical Care Surgery for high-risk stress fractures Nonunion of stress fractures is uncommon but can occur. These injuries should be closely followed up for early surgical intervention. They include stress fractures of the neck

2014 eMedicine Surgery

91. Anatomical distribution of the degree of mineralization of bone tissue in human femoral neck: impact on biomechanical properties. (Abstract)

Anatomical distribution of the degree of mineralization of bone tissue in human femoral neck: impact on biomechanical properties. Osteoporotic hip fractures represent a major public health problem associated with high human and economic costs. The anatomical variation of the tissue mineral density (TMD) and of the elastic constants in femoral neck cortical bone specimens is an important determinant of bone fragility. The purpose of this study was to show that a Synchrotron radiation (...) microcomputed tomography system coupled with a multiscale biomechanical model allows the determination of the 3-D anatomical dependence of TMD and of the elastic constants (i.e. the mechanical properties of an anisotropic material) in human femoral neck. Bone specimens from the inferior femoral neck were obtained from 18 patients undergoing standard hemiarthroplasty. The specimens were imaged using 3-D synchrotron micro-computed tomography with a voxel size of 10.13 μm, leading to the determination

2012 Bone

92. Determinants of stress fracture risk in United States Military Academy cadets. Full Text available with Trip Pro

of stress fracture was higher in those who exercised <7 h per week during the prior year (RR 2.31; CI 1.29,4.12), and in those with smaller tibial cortical area (RR 1.12; CI 1.03,1.23), lower tibial bone mineral content (RR 1.11; CI 1.03,1.20) and smaller femoral neck diameter (RR 1.35, CI 1.01, 1.81). In women, higher stress fracture risk was seen in those with shorter time since menarche (RR 1.44 per year; CI 1.19, 1.73) and smaller femoral neck diameter (RR 1.16; CI 1.01, 1.33.).Although prior (...) Determinants of stress fracture risk in United States Military Academy cadets. Prior studies have identified some risk factors for stress fracture in athletes and military recruits.To determine whether historical factors, physical measures, biochemical variables of skeletal metabolism, genetic factors, bone density (BMD) and bone size could predict risk of stress fracture over 4 years in physically fit cadets at the US Military Academy (USMA).Baseline surveys, assessments of height, weight

2013 Bone

93. 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. Full Text available with Trip Pro

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

2014 BMC Musculoskeletal Disorders

94. 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

2015 FP Notebook

95. 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

2015 FP Notebook

96. Stress fractures in athletes. Full Text available with Trip Pro

Stress fractures in athletes. 5823819 1969 11 29 2018 11 13 0035-9157 62 9 1969 Sep Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Stress fractures in athletes. 933-7 Devas M B MB eng Journal Article England Proc R Soc Med 7505890 0035-9157 IM Adolescent Adult Athletic Injuries therapy Elbow injuries Female Femoral Fractures therapy Femoral Neck Fractures therapy Fibula injuries Fracture Fixation Fractures, Spontaneous therapy Humans Humeral Fractures therapy Male Pain Patella (...) injuries Rest Rib Fractures therapy Stress, Physiological Tibial Fractures therapy Ulna injuries 1969 9 1 1969 9 1 0 1 1969 9 1 0 0 ppublish 5823819 PMC1810848 Am J Roentgenol Radium Ther Nucl Med. 1960 Apr;83:671-5 13804689 Med Ann Dist Columbia. 1952 Apr;21(4):196-9 14918701 J Bone Joint Surg Br. 1956 Feb;38-B(1):83-94 13295322 J Bone Joint Surg Br. 1956 Nov;38-B(4):818-29 13376667 Calif Med. 1965 Feb;102:127-32 14254967

1969 Proceedings of the Royal Society of Medicine

97. Focal osteoporosis defects play a key role in hip fracture. Full Text available with Trip Pro

Mineral Density (aBMD). In women we used the surgical classification of fracture location ('femoral neck' or 'trochanteric') to discover whether focal osteoporosis was specific to fracture type. To explore whether the focal areas were osteoporotic by histological criteria, we used micro CT to measure trabecular bone parameters in targeted biopsies taken from the femoral heads of 14 cases.Hip fracture patients had distinct patterns of focal osteoporosis that determined fracture type, and CBM measures (...) Focal osteoporosis defects play a key role in hip fracture. Hip fractures are mainly caused by accidental falls and trips, which magnify forces in well-defined areas of the proximal femur. Unfortunately, the same areas are at risk of rapid bone loss with ageing, since they are relatively stress-shielded during walking and sitting. Focal osteoporosis in those areas may contribute to fracture, and targeted 3D measurements might enhance hip fracture prediction. In the FEMCO case-control clinical

2016 Bone

98. Atypical Femur Fractures in Patients Treated with Bisphosphonates: Identification, Management, and Prevention Full Text available with Trip Pro

although lower mortality than the more common osteoporotic neck-of-femur fractures. A case definition has been described to allow identification of this class of fracture. Further work has established a high relative risk of AFFs in patients treated with bisphosphonates, but a low absolute risk in comparison to that of osteoporotic fractures. Proposed pathological mechanisms include low bone turnover states leading to stress/insufficiency fractures. Clinicians should be aware of the risk of AFFs (...) Atypical Femur Fractures in Patients Treated with Bisphosphonates: Identification, Management, and Prevention Osteoporosis is a common condition with significant health care costs. First-line therapy is with bisphosphonates, which have proven anti-fracture efficacy. Around 10 years after the introduction of bisphosphonates reports began to be published of atypical femoral fractures (AFFs) that may be associated with this therapy. These fractures are associated with significant morbidity

2016 Rambam Maimonides medical journal

99. Fast Track Hip Fracture

University hospital in 2012 and 2013. Fast track patient pathway Hip fracture patients operated at Akershus University hospital in 2014 and 2015. Other: Fast track patient pathway Admittance: Ambulance - Radiology - Orthopaedic ward. Focus on preoperative information, stress reduction, pain relief, early mobilization and nutritional status. Outcome Measures Go to Primary Outcome Measures : 30 day mortality rate [ Time Frame: Within 30 days from surgery ] Percentage of patients who die within 30 days from (...) below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Adult hip fracture patients operated at Akershus university hospital in 2012, 2013, 2014 and 2015. Criteria Inclusion Criteria: Operated at Akershus university hospital for a hip fracture (neck of femur, trochanteric, subtrochanteric) in 2012, 2013

2016 Clinical Trials

100. Molecular mechanisms of osteoporotic hip fractures in elderly women. (Abstract)

from elderly osteoporotic women with hip fractures (OP) in comparison to bone samples from age matched women with osteoarthritis of the hip (OA). Femoral heads and adjacent neck tissue were collected from 10 women with low-trauma hip fractures (mean age 83±6) and consecutive surgical hip replacement. Ten bone samples from patients undergoing hip replacement due to osteoarthritis (mean age 80±5) served as controls. One half of each bone sample was subjected to gene expression analysis. The second (...) Molecular mechanisms of osteoporotic hip fractures in elderly women. A common manifestation of age-related bone loss and resultant osteoporosis are fractures of the hip. Age-related osteoporosis is thought to be determined by a number of intrinsic factors including genetics, hormonal changes, changes in levels of oxidative stress, or an inflammatory status associated with the aging process. The aim of this study was to investigate gene expression and bone architecture in bone samples derived

2015 Experimental Gerontology

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