Insufficiency Fractures of the Femoral Shaft Associated with Osteoporosis
Journal of the Korean Fracture Society
;
: 19-24, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-199742
ABSTRACT
PURPOSE:
To present a clinical experience of the insufficiency fractures of the femoral shaft associated with osteoporosis MATERIALS ANDMETHODS:
From January 1995 to December 2002, four patients (8 cases, four females) more than 1-year follow up were reviewed retrospectively. The mean age was 61 years (range, 55 to 73). Medical records and roentgenograms were reviewed.RESULTS:
The fractures were bilateral. Plain film revealed fracture line in six among seven cases excluding 1 displaced fracture at initial presentation. All cases presented osteoporosis, anterolateral bowing of the femur, and hot spot in bone scan. Five cases (four displaced, one impending displaced fracture) underwent interlocking intramedullary nailing and all five of them manifested no evidence of delayed union. The preoperative thigh and knee joint pain improved postoperatively.CONCLUSION:
Femoral shaft insufficiency fracture could occur rarely in patients with anterolateral bowing of the femur and postmenopausal osteoporosis. Careful history taking, radiography and bone scan are necessary, and bone scan is helpful for early diagnosis. Once diagnosed as the insufficiency fracture with fracture-related symptoms, prophylactic nailing may be necessary lest complete displaced fracture should occur.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoporose
/
Coxa da Perna
/
Radiografia
/
Fraturas de Estresse
/
Osteoporose Pós-Menopausa
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Seguimentos
/
Diagnóstico Precoce
/
Fêmur
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Fracture Society
Ano de publicação:
2004
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS