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Insufficiency Fractures of the Femoral Shaft Associated with Osteoporosis
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Hae Seok Koh, Yong Koo Kang, Han Yong Lee, Kee Won Rhyu, Joo Hyoun Song, Jin Young Jeong, Eun Seong Song
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J Korean Fract Soc 2004;17(1):19-24. Published online January 31, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.1.19
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Abstract
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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.
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Citations
Citations to this article as recorded by 
- Research on the Coverage Expansion and Optimization Strategy of Unemployment Insurance System Based on the Comparison between China and Britain
Ruolan Xiao, M. Md Husin SHS Web of Conferences.2024; 193: 01039. CrossRef - Pelvic Insufficiency Fracture in Severe Osteoporosis Patient
Woong Chae Na, Sang Hong Lee, Sung Jung, Hyun Woong Jang, Suenghwan Jo Hip & Pelvis.2017; 29(2): 120. CrossRef - Femoral Shaft Fracture of a Middle-aged Male Adult during Playing Baseball
Ho-Seung Jeon, Young-Kyun Woo, Seok-Ha Hwang, Seung-Pyo Seo, Ho-Won Jeong, Sung-Tae Lim The Korean Journal of Sports Medicine.2017; 35(1): 57. CrossRef - Surgical Treatment of Atypical Femoral Fracture
Kyung-Jae Lee, Yong-Wook Kwon, Yong Chan Ha, Young-Kyun Lee, Beom-Soo Kim, Byung-Woo Min Journal of the Korean Orthopaedic Association.2013; 48(3): 185. CrossRef - Letter: Repeated Metal Breakage in a Femoral Shaft Fracture with Lateral Bowing - A Case Report -
Hae Seok Koh Journal of the Korean Fracture Society.2012; 25(3): 240. CrossRef - Association of Low-energy Femoral Shaft Fractures and Bisphosphonate Use
Hae Seok Koh Orthopedics.2012; 35(9): 736. CrossRef - Repetitive Insufficiency Fractures of the Femoral Shaft - A Case Report -
Ji-Hwan Kim, Young-Ho Cho, Young-Soo Byun, Jung-Hoon Shin, Chung-Yeol Lee, Tae-Gyun Kim Journal of the Korean Fracture Society.2010; 23(1): 109. CrossRef
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Fracture of the Medial Epicondylar Apophysis of Distal Humerus with Subluxation of the Radial Head: A Case Report
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Han Yong Lee, Kee Won Rhyu, Jin Young Jeong, Joo Hyoun Song, Hae Seok Koh, Yong Koo Kang, Mun Ik Sohn
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J Korean Soc Fract 2003;16(2):304-307. Published online April 30, 2003
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DOI: https://doi.org/10.12671/jksf.2003.16.2.304
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Abstract
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- It has been known that fracture of medial epicondylar apophysis of distal humerus may be isolated or associated with elbow dislocations. We have experienced a case which medial epicondylar fracture of the distal humerus was associated with subluxation of the radial head. Initially, we had tried reduction of subluxated radial head by closed method, but failed. Finally open reduction had been performed. At 6 month after open reduction, clinical and radiological result were excellent. As it is difficult for those associated injuries to occur simultaneously and the similar cases never have been reported yet, we would like to present this case with a review of the literature.
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