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Femoral Neck Stress Fracture

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101. 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

102. Hyperuricemia Protects Against Low Bone Mineral Density, Osteoporosis and Fractures: A Systematic Review And Meta-Analysis. (PubMed)

SUA levels had significantly higher BMD values for the spine (six studies; SMD = 0·29; 95% CI: 0·22-0·35; I2 = 47%), total hip (seven studies; SMD = 0·29; 95% CI: 0·24-0·34; I2 = 33%) and femoral neck (six studies; SMD = 0·25; 95% CI: 0·16-0·34; I2 = 71%). Simple correlation analyses substantially confirmed these findings. An increase of one standard deviation in SUA levels reduced the number of new fractures at follow-up (three studies; HR = 0·83; 95% CI: 0·74-0·92; I2 = 0%). No significant (...) Hyperuricemia Protects Against Low Bone Mineral Density, Osteoporosis and Fractures: A Systematic Review And Meta-Analysis. Serum uric acid (SUA) accounts for about 50% of extracellular antioxidant activity, suggesting that hyperuricemia may have a protective role in diseases characterized by high levels of oxidative stress, such as osteoporosis. We aimed to meta-analyse data regarding bone mineral density (BMD), osteoporosis and fractures in people with higher SUA vs. lower SUA

2016 European journal of clinical investigation

103. Focal osteoporosis defects play a key role in hip fracture. (PubMed)

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

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2016 Bone

104. 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

105. 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

106. The classification systems of stress fractures: a systematic review. (PubMed)

using Ovid/Medline, Embase, and the Cochrane Library, with publication dates ranging from 1960 to December 2009. Inclusion criteria included all studies and review articles regarding stress or fatigue fractures and their classification.Forty-three studies and/or articles were identified for this review. Of these articles, 27 classification systems were referenced. Sixteen of the systems were applicable to any injury location, and 1 applied to specific bones (femoral neck, tibia, tarsal navicular (...) The classification systems of stress fractures: a systematic review. Stress fractures of the upper and lower extremity are troublesome overuse injuries in athletes and nonathletes alike. These injuries have a broad spectrum of severity and prognosis. We performed a systematic search of the literature, which revealed multiple classification systems; however, we did not uncover a general system that offered both validated radiographic and clinical parameters.A literature search was conducted

2011 The Physician and sportsmedicine

107. Stress fractures in athletes. (PubMed)

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

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1969 Proceedings of the Royal Society of Medicine

108. Technical considerations and functional results in primary uncemented hip arthroplasty using short femoral stems through mini-invasive techniques (PubMed)

Technical considerations and functional results in primary uncemented hip arthroplasty using short femoral stems through mini-invasive techniques Primary hip arthroplasty is a surgical procedure through which the coxofemoral joint is replaced with a prosthetic implant. Arthroplasties can be total or partial, cemented or uncemented. These procedures are generally indicated as a form of treatment for arthritic pain or in the case of severe trauma, such as femoral neck fractures. The most commonly (...) used approaches are: Smith Peterson, Watson Jones, Hardinge, Moore Southern and Ludloff. Recently, mini-invasive approaches have started being used, while correlated with short femoral stems. Short metaphyseal femoral stems have been introduced as an alternative to conventional stems, having a series of advantages: preservation of bone stock (high cervical osteotomies), preservation of the anatomical anteversion of the femural neck, decrease in cortical stress forces, decrease in the remaining

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2014 Journal of medicine and life

109. Femoral Head Avascular Necrosis (Overview)

to the femoral head is principally provided by 3 sources: (1) an extracapsular arterial ring at the base of the femoral neck, (2) ascending branches of the arterial ring on the femoral neck surface, and (3) arteries of the round ligament. This arterial supply is well affixed to the femoral neck and is easily damaged with any femoral neck fracture displacement. Furthermore, nutrient vessels to the femoral head terminate in small arterioles that are easily occluded with small embolic matter (ie, lipids). (See (...) of the femoral head following femoral neck fractures in middle-aged and elderly patients. J Orthop Sci . 2012 Nov 1. . Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am . 1995 Mar. 77(3):459-74. . Song HK, Choi HJ, Yang KH. Risk factors of avascular necrosis of the femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years. Injury . 2016 Oct 19. . Maini L, Kumar S, Batra S, Gupta R, Arora S. Evaluation

2014 eMedicine.com

110. Femoral Osteotomy (Follow-up)

, as in intertrochanteric fracture malunion with varus, external rotation, and shortening deformity Simultaneous femoral osteotomy and total hip arthroplasty Hip or in the young, active patient Femoral neck nonunion In femoral neck nonunion, the fracture fails to heal despite an adequate blood supply. Weightbearing forces across a vertically oriented fracture line produce shear stresses at the fracture site that favor the production of fibrous tissue. Valgus intertrochanteric osteotomy reorients the fracture site (...) this position are yet lacking. Next: Indications The bases for performing a proximal femoral osteotomy can vary. In the presence of deformity, the goal is to correct the deformity and, in so doing, to realign the hip and lower extremity. This may include frontal, sagittal, and rotational corrections and perhaps even lengthening through the osteotomy. [ ] Indications for proximal femoral osteotomy in adults include the following: Nonunion of a femoral neck fracture Nonunion or malunion of an deformity

2014 eMedicine Surgery

111. Slipped Capital Femoral Epiphysis (Overview)

). A: The entry point must be at or above the level of the lesser trochanter to avoid the risk of subtrochanteric fracture. B: The pin (screw) should be in the center of the epiphysis. C: At least 2.5 threads engaging the epiphysis should be used for a secure hold. Pin placement (lateral view). Arrow shows entry point in the anterolateral cortex. Osteotomies in slipped capital femoral epiphysis (SCFE). A: Subcapital osteotomy. B: Base of the neck compensatory osteotomy. C: Intertrochanteric compensatory (...) > Slipped Capital Femoral Epiphysis Surgery Updated: Mar 24, 2017 Author: Mihir M Thacker, MBBS, MS(Orth), DNB(Orth), FCPS(Orth), D'Ortho; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Slipped Capital Femoral Epiphysis Surgery Overview Background Slipped capital femoral epiphysis (SCFE) was first described by Ernst Müller, who called it Schenkelhalsverbiegungen im Jungesalter ("bending of the femoral neck in adolescence"). The term slipped capital femoral epiphysis

2014 eMedicine Surgery

112. Slipped Capital Femoral Epiphysis (Diagnosis)

). A: The entry point must be at or above the level of the lesser trochanter to avoid the risk of subtrochanteric fracture. B: The pin (screw) should be in the center of the epiphysis. C: At least 2.5 threads engaging the epiphysis should be used for a secure hold. Pin placement (lateral view). Arrow shows entry point in the anterolateral cortex. Osteotomies in slipped capital femoral epiphysis (SCFE). A: Subcapital osteotomy. B: Base of the neck compensatory osteotomy. C: Intertrochanteric compensatory (...) > Slipped Capital Femoral Epiphysis Surgery Updated: Mar 24, 2017 Author: Mihir M Thacker, MBBS, MS(Orth), DNB(Orth), FCPS(Orth), D'Ortho; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Slipped Capital Femoral Epiphysis Surgery Overview Background Slipped capital femoral epiphysis (SCFE) was first described by Ernst Müller, who called it Schenkelhalsverbiegungen im Jungesalter ("bending of the femoral neck in adolescence"). The term slipped capital femoral epiphysis

2014 eMedicine Surgery

113. Femoral Osteotomy (Diagnosis)

, as in intertrochanteric fracture malunion with varus, external rotation, and shortening deformity Simultaneous femoral osteotomy and total hip arthroplasty Hip or in the young, active patient Femoral neck nonunion In femoral neck nonunion, the fracture fails to heal despite an adequate blood supply. Weightbearing forces across a vertically oriented fracture line produce shear stresses at the fracture site that favor the production of fibrous tissue. Valgus intertrochanteric osteotomy reorients the fracture site (...) this position are yet lacking. Next: Indications The bases for performing a proximal femoral osteotomy can vary. In the presence of deformity, the goal is to correct the deformity and, in so doing, to realign the hip and lower extremity. This may include frontal, sagittal, and rotational corrections and perhaps even lengthening through the osteotomy. [ ] Indications for proximal femoral osteotomy in adults include the following: Nonunion of a femoral neck fracture Nonunion or malunion of an deformity

2014 eMedicine Surgery

114. Femoral Head Avascular Necrosis (Diagnosis)

to the femoral head is principally provided by 3 sources: (1) an extracapsular arterial ring at the base of the femoral neck, (2) ascending branches of the arterial ring on the femoral neck surface, and (3) arteries of the round ligament. This arterial supply is well affixed to the femoral neck and is easily damaged with any femoral neck fracture displacement. Furthermore, nutrient vessels to the femoral head terminate in small arterioles that are easily occluded with small embolic matter (ie, lipids). (See (...) of the femoral head following femoral neck fractures in middle-aged and elderly patients. J Orthop Sci . 2012 Nov 1. . Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am . 1995 Mar. 77(3):459-74. . Song HK, Choi HJ, Yang KH. Risk factors of avascular necrosis of the femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years. Injury . 2016 Oct 19. . Maini L, Kumar S, Batra S, Gupta R, Arora S. Evaluation

2014 eMedicine.com

115. Femoral Head Avascular Necrosis (Treatment)

the relatively high failure rate in some clinical series. [ ] Nonetheless, refinements in both technique and design predict improved outcomes. Resurfacing arthroplasty remains a controversial procedure that likely will not last a patient’s lifetime. Current recommendations are that resurfacing is contraindicated if the avascular area exceeds one third of the femoral head. Furthermore, there is a 1% incidence of femoral neck fracture with this procedure. Lastly, the issue of metal ion release has spurred much (...) analysis of factors associated with avascular necrosis of the femoral head following femoral neck fractures in middle-aged and elderly patients. J Orthop Sci . 2012 Nov 1. . Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am . 1995 Mar. 77(3):459-74. . Song HK, Choi HJ, Yang KH. Risk factors of avascular necrosis of the femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years. Injury . 2016 Oct 19

2014 eMedicine.com

116. Avascular Necrosis, Femoral Head

the major blood supply to the epiphysis. They traverse the femoral neck and are contained within the joint capsule and give rise to the lateral epiphyseal vessels at the junction of the femoral head and neck. From there, they penetrate the femur and supply the femoral epiphysis. A. = artery. Avascular necrosis of the femoral head. Illustration demonstrating that the blood supply to the femoral head is compromised by subcapital femoral fractures or slipped capital femoral epiphysis. As the epiphysis (...) . A. = artery. Avascular necrosis of the femoral head. Illustration demonstrating that the blood supply to the femoral head is compromised by subcapital femoral fractures or slipped capital femoral epiphysis. As the epiphysis or femoral neck separates from the femoral head, the femoral metaphysis displaces superolaterally and the femur rotates externally. This causes the distal posterior-superior retinacular arteries and proximal lateral epiphyseal vessels to kink or rotate, compromising the blood flow

2014 eMedicine Radiology

117. Femoral Osteotomy (Treatment)

, as in intertrochanteric fracture malunion with varus, external rotation, and shortening deformity Simultaneous femoral osteotomy and total hip arthroplasty Hip or in the young, active patient Femoral neck nonunion In femoral neck nonunion, the fracture fails to heal despite an adequate blood supply. Weightbearing forces across a vertically oriented fracture line produce shear stresses at the fracture site that favor the production of fibrous tissue. Valgus intertrochanteric osteotomy reorients the fracture site (...) this position are yet lacking. Next: Indications The bases for performing a proximal femoral osteotomy can vary. In the presence of deformity, the goal is to correct the deformity and, in so doing, to realign the hip and lower extremity. This may include frontal, sagittal, and rotational corrections and perhaps even lengthening through the osteotomy. [ ] Indications for proximal femoral osteotomy in adults include the following: Nonunion of a femoral neck fracture Nonunion or malunion of an deformity

2014 eMedicine Surgery

118. Femoral Osteotomy (Overview)

, as in intertrochanteric fracture malunion with varus, external rotation, and shortening deformity Simultaneous femoral osteotomy and total hip arthroplasty Hip or in the young, active patient Femoral neck nonunion In femoral neck nonunion, the fracture fails to heal despite an adequate blood supply. Weightbearing forces across a vertically oriented fracture line produce shear stresses at the fracture site that favor the production of fibrous tissue. Valgus intertrochanteric osteotomy reorients the fracture site (...) this position are yet lacking. Next: Indications The bases for performing a proximal femoral osteotomy can vary. In the presence of deformity, the goal is to correct the deformity and, in so doing, to realign the hip and lower extremity. This may include frontal, sagittal, and rotational corrections and perhaps even lengthening through the osteotomy. [ ] Indications for proximal femoral osteotomy in adults include the following: Nonunion of a femoral neck fracture Nonunion or malunion of an deformity

2014 eMedicine Surgery

119. Scaphoid Proximal Pole Fracture Following Headless Screw Fixation (PubMed)

insertion site in three young male patients with healed scaphoid nonunions. Each fracture was remarkably similar in shape and size, comprised the volar proximal pole, and was contiguous with the screw entry point. Treatment was challenging but successful in all cases. Literature Review Previous reports have posited that stress-raisers secondary to screw orientation may be implicated in subsequent peri-implant fracture of the femoral neck. Repeat scaphoid fracture after screw fixation has also been (...) Scaphoid Proximal Pole Fracture Following Headless Screw Fixation Background Headless screw fixation of scaphoid fractures and nonunions yields predictably excellent outcomes with a relatively low complication profile. However, intramedullary implants affect the load to failure and stress distribution within bone and may be implicated in subsequent fracture. Case Description We describe a posttraumatic fracture pattern of the scaphoid proximal pole originating at the previous headless screw

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2015 Journal of wrist surgery

120. Molecular mechanisms of osteoporotic hip fractures in elderly women. (PubMed)

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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