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Original Article
- Insufficiency Fractures of the Femoral Shaft Associated with Osteoporosis
- Hae Seok Koh, Yong Koo Kang, Han Yong Lee, Kee Won Rhyu, Joo Hyoun Song, Jin Young Jeong, Eun Seong Song
- J Korean Fract Soc 2004;17(1):19-24. Published online January 31, 2004
- DOI: https://doi.org/10.12671/jkfs.2004.17.1.19
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Abstract
PDF - 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. -
Citations
Citations to this article as recorded by
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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
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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 -
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Journal of the Korean Fracture Society.2012; 25(3): 240. CrossRef - Association of Low-energy Femoral Shaft Fractures and Bisphosphonate Use
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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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