Insufficiency Fractures of the Femoral Shaft Associated with Osteoporosis
Journal of the Korean Fracture Society
; : 19-24, 2004.
Article
em Ko
| WPRIM
| ID: wpr-199742
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To present a clinical experience of the insufficiency fractures of the femoral shaft associated with osteoporosis MATERIALS AND METHODS: 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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Osteoporose
/
Coxa da Perna
/
Radiografia
/
Fraturas de Estresse
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Osteoporose Pós-Menopausa
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Prontuários Médicos
/
Estudos Retrospectivos
/
Seguimentos
/
Diagnóstico Precoce
/
Fêmur
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Fracture Society
Ano de publicação:
2004
Tipo de documento:
Article