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

121. Assessment of femur geometrical parameters using EOS™ imaging technology in patients with atypical femur fractures; preliminary results. (PubMed)

Assessment of femur geometrical parameters using EOS™ imaging technology in patients with atypical femur fractures; preliminary results. Atypical femur fractures (AFF) arise in the subtrochanteric and diaphyseal regions. Because of this unique distribution, we hypothesized that patients with AFF demonstrate specific geometrical variations of their lower limb whereby baseline tensile forces applied to the lateral cortex are higher and might favor the appearance of these rare stress fractures (...) Caucasian women with AFF and recruited 16 ethnicity-, sex-, age-, height- and cumulative bisphosphonate exposure-matched controls from local osteoporosis clinics. Compared to controls, those with AFF had more lateral femur bowing (-3.2° SD [3.4] versus -0.8° SD [1.9] p=0.02). In regression analysis, lateral femur bowing was associated with the risk of AFF (aOR 1.54; 95% CI 1.04-2.28, p=0.03). Women who sustained a subtrochanteric AFF demonstrated a lesser femoral neck shaft angle (varus geometry) than

2015 Bone

122. In vivo microdamage is an indicator of susceptibility to initiation and propagation of microdamage in human femoral trabecular bone. (Full text)

In vivo microdamage is an indicator of susceptibility to initiation and propagation of microdamage in human femoral trabecular bone. Microdamage has been cited as an important element of trabecular bone quality and fracture risk, as materials with flaws have lower modulus and strength than equivalent undamaged materials. However, the magnitude of the effect of damage on failure properties depends on its tendency to propagate. Human femoral trabecular bone from the neck and greater trochanter (...) reflect stress redistribution away from damaged trabeculae, resulting in new damage sites. However, the accumulation of new damage was positively correlated with quantity of pre-existing damage in all loading modes, indicating that damaged bone is inherently more prone to further damage formation. Moreover, about 50% of in vivo microcracks propagated under each type of loading. Finally, damage formation was positively correlated to decreased compressive stiffness following both axial and shear loading

2013 Bone PubMed

123. Femur Injuries and Fractures (Overview)

of the proximal and middle third of the femur. Fractures in this location occur as a result of the compression forces on the medial femur. [ ] A study suggested that the lateral cortex of the femoral shaft may also be susceptible to stress fracture due to tensile forces. [ ] Stress fractures can also occur on the lateral aspect of the femoral neck in areas of distraction and are less likely to heal non-operatively than compression-side stress fractures on the medial side. Stress fractures occur most often (...) of associated injuries. J Orthop Trauma . 2011 Sep. 25(9):556-9. . Koval KJ, Zuckerman JD. Hip Fractures: I. Overview and Evaluation and Treatment of Femoral-Neck Fractures. J Am Acad Orthop Surg . 1994 May. 2(3):141-149. . Niva MH, Kiuru MJ, Haataja R, Pihlajamäki HK. Fatigue injuries of the femur. J Bone Joint Surg Br . 2005 Oct. 87(10):1385-90. . Koh JS, Goh SK, Png MA, Ng AC, Howe TS. Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology. Singapore

2014 eMedicine.com

124. Diaphyseal Femur Fractures (Follow-up)

, and higher rate of complications tend to favor other methods of treatment. Healing occurs without callus formation, and the bone is slower to regain strength. Bone under the plate is also prone to stress shielding and may become osteopenic. Compression plating may be used in distal metaphyseal-diaphyseal junction fractures and in certain situations with ipsilateral femoral-neck fractures. Plating is done via a lateral approach in the skin and spitting the vastus lateralis. One should be careful to avoid (...) . Its use has been studied extensively, and it has proved effective in the short and long terms. An unscrubbed assistant surgeon must assist by first examining the radiographs and determining the appropriate direction of force needed to reduce the fracture. After reduction, anteroposterior (AP) and lateral imaging with fluoroscopy should be performed to confirm the reduction. At this time, the femoral neck also can be critically examined with fluoroscopy. The patient is positioned on the fracture

2014 eMedicine Surgery

125. Diaphyseal Femur Fractures (Diagnosis)

. Rockwood and Green's Fractures in Adults . 8th ed. Philadelphia: Wolters Kluwer; 2015. Vol 2: 2149-228. Kanlic E, Cruz M. Current concepts in pediatric femur fracture treatment. Orthopedics . 2007 Dec. 30(12):1015-9. . Poolman RW, Kocher MS, Bhandari M. Pediatric femoral fractures: a systematic review of 2422 cases. J Orthop Trauma . 2006 Oct. 20(9):648-54. . Lee SH, Baek JR, Han SB, Park SW. Stress fractures of the femoral diaphysis in children: a report of 5 cases and review of literature. J Pediatr (...) fractures. J Pediatr Orthop . 2000 May-Jun. 20(3):405-10. . Baumgaertner, M, Tornetta III, P. Orthopaedic Knowlodge Update, Trauma 3. Book . 2005. 93-106, 387-395. O'toole RV, Dancy L, Dietz AR, Pollak AN, Johnson AJ, Osgood G. Diagnosis of femoral neck fracture associated with femoral shaft fracture: blinded comparison of computed tomography and plain radiography. J Orthop Trauma . 2013 Jun. 27(6):325-30. . Hwang JS, Gibson PD, Koury KL, Stekas N, Sirkin MS, Reilly MC, et al. The role of computed

2014 eMedicine Surgery

126. Subtrochanteric Hip Fractures (Overview)

fracture has significantly higher rates of malunion and nonunion than other femoral fractures do. Still, with an improved understanding of this fracture and the specific treatment options, successful results can be obtained. [ , ] Next: Anatomy The subtrochanteric region of the femur, arbitrarily designated as the region between the lesser trochanter and a point 5 cm distal, consists primarily of cortical bone. The femoral head and neck are anteverted approximately 13º with respect to the plane (...) of the femoral shaft. The piriformis fossa lies at the base of the neck and is oriented in line with the femoral shaft. The lesser trochanter is posteromedial, and it is the point of insertion for the psoas and iliacus tendons. The femoral shaft has both an anterior and a lateral bow. The major muscles that surround the hip create significant forces that contribute to fracture deformity. The gluteus medius and minimus tendons attach to the greater trochanter and abduct the proximal fragment. The psoas

2014 eMedicine Surgery

127. General Principles of Fracture Care (Follow-up)

. Stuttgart: Verlag von Ferdinand Enke; 1872. Vol 2: 234-920. Bryant LR, Song WS, Banks KP, Bui-Mansfield LT, Bradley YC. Comparison of planar scintigraphy alone and with SPECT for the initial evaluation of femoral neck stress fracture. AJR Am J Roentgenol . 2008 Oct. 191(4):1010-5. . Yang HL, Wang GL, Niu GQ, Liu JY, Hiltner E, Meng B, et al. Using MRI to determine painful vertebrae to be treated by kyphoplasty in multiple-level vertebral compression fractures: a prospective study. J Int Med Res . 2008 (...) Sep-Oct. 36(5):1056-63. . McManus JG, Morton MJ, Crystal CS, McArthur TJ, Helphenstine JS, Masneri DA, et al. Use of ultrasound to assess acute fracture reduction in emergency care settings. Am J Disaster Med . 2008 Jul-Aug. 3(4):241-7. . Rang M. Children’s Fractures . 2nd ed. Philadelphia: JB Lippincott; 1983. Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone Joint Surg Am . 2008 Oct. 90(10):2254-66. . [Guideline] Brox WT, Roberts KC, Taksali S, et al

2014 eMedicine Surgery

128. Periprosthetic Fractures (Diagnosis)

original strength. Some 90% of fractures around fracture fixation implants occur through a drill hole (see the image below). [ ] Failed fixation caused by fracture through screw holes. Displacement of unrecognized femoral neck fracture or new fracture occurs in 3% of intramedullary nailings of femoral shaft fractures. [ , ] With any implant, the end of the device becomes a stress riser in which the weaker osteoporotic bone tends to fracture first when excessive load is applied. [ ] Removal of devices (...) , ed. Complications in Orthopaedic Surgery . 3rd ed. Philadelphia: JB Lippincott; 1994. 131-54. Wu CC, Shih CH. Ipsilateral femoral neck and shaft fractures. Retrospective study of 33 cases. Acta Orthop Scand . 1991 Aug. 62(4):346-51. . Azer SN, Rankin EA. Complications of treatment of femoral shaft fractures. Epps CH, ed. Complications in Orthopaedic Surgery . 3rd ed. Philadelphia: JB Lippincott; 1994. 487-524. Chmell MJ, Moran MC, Scott RD. Periarticular Fractures After Total Knee Arthroplasty

2014 eMedicine Surgery

129. General Principles of Fracture Care (Diagnosis)

for the initial evaluation of femoral neck stress fracture. AJR Am J Roentgenol . 2008 Oct. 191(4):1010-5. . Yang HL, Wang GL, Niu GQ, Liu JY, Hiltner E, Meng B, et al. Using MRI to determine painful vertebrae to be treated by kyphoplasty in multiple-level vertebral compression fractures: a prospective study. J Int Med Res . 2008 Sep-Oct. 36(5):1056-63. . McManus JG, Morton MJ, Crystal CS, McArthur TJ, Helphenstine JS, Masneri DA, et al. Use of ultrasound to assess acute fracture reduction in emergency care (...) settings. Am J Disaster Med . 2008 Jul-Aug. 3(4):241-7. . Rang M. Children’s Fractures . 2nd ed. Philadelphia: JB Lippincott; 1983. Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone Joint Surg Am . 2008 Oct. 90(10):2254-66. . [Guideline] Brox WT, Roberts KC, Taksali S, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly. J Bone Joint Surg Am . 2015 Jul 15. 97 (14):1196-9. . Bhandari M. Evidence

2014 eMedicine Surgery

130. Lumbar Spine Fractures and Dislocations (Follow-up)

, Hurlbert RJ, Anderson P, Fehlings M, Rampersaud R, Massicotte EM, et al. Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study. Spine (Phila Pa 1976) . 2006 Feb 15. 31 (4):451-8. . Kinoshita T, Ebara S, Kamimura M, Tateiwa Y, Itoh H, Yuzawa Y, et al. Nontraumatic lumbar vertebral compression fracture as a risk factor for femoral neck fractures in involutional osteoporotic patients. J Bone Miner Metab . 1999. 17 (3):201-5. . Castaño-Betancourt MC (...) Lumbar Spine Fractures and Dislocations (Follow-up) Lumbar Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy 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

2014 eMedicine Surgery

131. Intertrochanteric Hip Fractures (Follow-up)

trochanter, with a compression hip screw inserted through the proximal portion of the nail into the femoral head, is now being used, especially for unstable fracture patterns. [ , ] (See the image below.) Femur with intramedullary rod and screw. Cephalomedullary fixation may help with reduction of unstable fractures and prevent excessive shortening from collapse, in that the nail acts as a calcar rand lateral wall replacement to support the femoral neck. This percutaneous technique has the potential (...) fracture before fixation [ ] but generally is not indicated in current practice. Arthroplasty Replacement of the hip may be perfomed either by replacing only the femoral side (hemiarthroplasty) or by replacing both the acetabulum and the femoral side (total hip arthroplasty). These two surgical treatment options, though common for displaced femoral neck fractures in the elderly, have not been a popular form of therapy for intertrochanteric fractures. The reluctance to employ these options is due

2014 eMedicine Surgery

132. Subtrochanteric Hip Fractures (Diagnosis)

, subtrochanteric fracture has significantly higher rates of malunion and nonunion than other femoral fractures do. Still, with an improved understanding of this fracture and the specific treatment options, successful results can be obtained. [ , ] Next: Anatomy The subtrochanteric region of the femur, arbitrarily designated as the region between the lesser trochanter and a point 5 cm distal, consists primarily of cortical bone. The femoral head and neck are anteverted approximately 13º with respect (...) to the plane of the femoral shaft. The piriformis fossa lies at the base of the neck and is oriented in line with the femoral shaft. The lesser trochanter is posteromedial, and it is the point of insertion for the psoas and iliacus tendons. The femoral shaft has both an anterior and a lateral bow. The major muscles that surround the hip create significant forces that contribute to fracture deformity. The gluteus medius and minimus tendons attach to the greater trochanter and abduct the proximal fragment

2014 eMedicine Surgery

133. Femur Injuries and Fractures (Diagnosis)

of the proximal and middle third of the femur. Fractures in this location occur as a result of the compression forces on the medial femur. [ ] A study suggested that the lateral cortex of the femoral shaft may also be susceptible to stress fracture due to tensile forces. [ ] Stress fractures can also occur on the lateral aspect of the femoral neck in areas of distraction and are less likely to heal non-operatively than compression-side stress fractures on the medial side. Stress fractures occur most often (...) of associated injuries. J Orthop Trauma . 2011 Sep. 25(9):556-9. . Koval KJ, Zuckerman JD. Hip Fractures: I. Overview and Evaluation and Treatment of Femoral-Neck Fractures. J Am Acad Orthop Surg . 1994 May. 2(3):141-149. . Niva MH, Kiuru MJ, Haataja R, Pihlajamäki HK. Fatigue injuries of the femur. J Bone Joint Surg Br . 2005 Oct. 87(10):1385-90. . Koh JS, Goh SK, Png MA, Ng AC, Howe TS. Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology. Singapore

2014 eMedicine.com

134. Hip Fracture (Overview)

these cumulative forces exceed the structural strength of bone, stress fractures occur. [ , , ] Stress fractures occur mainly at the femoral neck and are classified as either tension (at the superior aspect of the femoral neck) or compression (at the inferior aspect of the femoral neck). See the images below. A subcapital femoral neck fracture. Slight compression of the femoral head onto the femoral neck can be seen. Note the cortical break medially. This fracture could be missed if not closely evaluated (...) . A view of the contralateral hip for comparison. are classified as intracapsular, which includes femoral head and neck fractures, or extracapsular, which includes trochanteric, , and . The location of the fracture and the amount of angulation and comminution play integral roles in the overall morbidity of the patient, as does the preexisting physical condition of the individual. Fractures of the proximal femur are extremely rare in young athletes and are usually caused by high-energy motor vehicle

2014 eMedicine.com

135. Hip Fracture (Treatment)

& Management Updated: Jan 08, 2019 Author: Naveenpal S Bhatti, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Hip Fracture Treatment Acute Phase Rehabilitation Program Physical Therapy The treatment of femoral neck fractures, intertrochanteric hip fractures, and most tension femoral neck stress fractures requires surgical intervention. Stress fractures occur most often in the femoral neck and are classified according to the location (ie, inferior or compression (...) is increased signal intensity at the superior femoral neck on T2-weighted and short inversion time inversion recovery (STIR) images. Displaced fractures can be identified on plain radiographs. Complications associated with poorly treated or misdiagnosed stress fractures are considerable. AVN, nonunion, varus deformity, osteonecrosis, and completely displaced femoral neck fractures may occur. These complications can lead to serious, life-altering changes in function and the patient's ability to ambulate

2014 eMedicine.com

136. Femur Injuries and Fractures (Treatment)

program/phase is completed. The progression can include (1) cycling, (2) swimming, and (3) running in chest-deep water before resuming more intensive weight-bearing training. Patients must maintain upper extremity and cardiovascular fitness and avoid lower extremity exercise early in the healing process. Compression sided femoral neck stress fractures are typically treated conservatively with a period of protected crutch-assisted weight bearing until symptoms resolve. Tension-sided (lateral) femoral (...) by not only location, but also tumor type. In primary bone tumors, the goal of surgical treatment is curative where as in metastatic tumors the goal is palliative. In the case of femoral shaft stress fracture, operative treatment is reserved for those infrequent cases that have been recalcitrant to a long course of conservative treatment. Intramedullary nailing, whether antegrade or retrograde, is the treatment of choice for these cases. Tension sided femoral neck stress fractures are typically treated

2014 eMedicine.com

137. Hip Fracture (Follow-up)

are considerable. AVN, nonunion, varus deformity, chronic pain, and completely displaced femoral neck fractures may occur and may lead to serious life-altering changes in function and the patient's ability to ambulate efficiently. Previous Next: Prognosis The prognosis for hip fractures is dependent on the age and condition of the patient and on the location and type of fracture. Athletes who sustain femoral neck stress fractures may or may not be able to return to their sport. Tension stress fractures (...) of Orthopaedic Surgeons. Management of Hip Fractures in the Elderly: Evidence- Based Clinical Practice Guideline. Available at . Accessed: September 14, 2014. Shin AY, Gillingham BL. Fatigue fractures of the femoral neck in athletes. J Am Acad Orthop Surg . 1997 Nov. 5(6):293-302. . Pincus D, Ravi B, Wasserstein D, Huang A, Paterson JM, Nathens AB, et al. Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery. JAMA . 2017 Nov 28. 318 (20):1994-2003. . Bischoff-Ferrari HA

2014 eMedicine.com

138. Femur Injuries and Fractures (Follow-up)

and Evaluation and Treatment of Femoral-Neck Fractures. J Am Acad Orthop Surg . 1994 May. 2(3):141-149. . Niva MH, Kiuru MJ, Haataja R, Pihlajamäki HK. Fatigue injuries of the femur. J Bone Joint Surg Br . 2005 Oct. 87(10):1385-90. . Koh JS, Goh SK, Png MA, Ng AC, Howe TS. Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology. Singapore Med J . 2011 Feb. 52(2):77-80. . Oh Y, Fujita K, Wakabayashi Y, Kurosa Y, Okawa A. Location of atypical femoral (...) fracture can be determined by tensile stress distribution influenced by femoral bowing and neck-shaft angle: a CT-based nonlinear finite element analysis model for the assessment of femoral shaft loading stress. Injury . 2017 Dec. 48 (12):2736-2743. . DeFranco MJ, Recht M, Schils J, Parker RD. Stress fractures of the femur in athletes. Clin Sports Med . 2006 Jan. 25(1):89-103, ix. . Fitch KD. Stress fractures of the lower limbs in runners. Aust Fam Physician . 1984 Jul. 13(7):511-5. . Schnackenburg KE

2014 eMedicine.com

139. Fracture, Hip (Follow-up)

, Perry JJ. Regional Nerve Blocks For Hip and Femoral Neck Fractures in the Emergency Department: A Systematic Review. CJEM . 2016 Jan. 18 (1):37-47. . Dickman E, Pushkar I, Likourezos A, Todd K, Hwang U, Akhter S, et al. Ultrasound-guided nerve blocks for intracapsular and extracapsular hip fractures. Am J Emerg Med . 2015 Dec 14. . Groot L, Dijksman LM, Simons MP, Zwartsenburg MM, Rebel JR. Single Fascia Iliaca Compartment Block is Safe and Effective for Emergency Pain Relief in Hip-fracture (...) . Femoral neck fractures. Top diagram is a nondisplaced, or incomplete, femoral neck fracture. Bottom diagram is an impacted femoral neck fracture. Partially displaced femoral neck fracture. Completely displaced femoral neck fracture. Trochanteric fractures. Top diagram is a nondisplaced trochanteric fracture. Bottom diagram is a displaced trochanteric fracture. Intertrochanteric fractures. Top diagram is a single fracture line intertrochanteric fracture. Bottom diagram is a displaced, or multiple

2014 eMedicine Emergency Medicine

140. Hip Fracture (Diagnosis)

these cumulative forces exceed the structural strength of bone, stress fractures occur. [ , , ] Stress fractures occur mainly at the femoral neck and are classified as either tension (at the superior aspect of the femoral neck) or compression (at the inferior aspect of the femoral neck). See the images below. A subcapital femoral neck fracture. Slight compression of the femoral head onto the femoral neck can be seen. Note the cortical break medially. This fracture could be missed if not closely evaluated (...) . A view of the contralateral hip for comparison. are classified as intracapsular, which includes femoral head and neck fractures, or extracapsular, which includes trochanteric, , and . The location of the fracture and the amount of angulation and comminution play integral roles in the overall morbidity of the patient, as does the preexisting physical condition of the individual. Fractures of the proximal femur are extremely rare in young athletes and are usually caused by high-energy motor vehicle

2014 eMedicine.com

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