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Case Report
- Repetitive Insufficiency Fractures of the Femoral Shaft: A Case Report
- Ji-Hwan Kim, M.D., Young-Ho Cho, M.D., Young-Soo Byun, M.D., Jung-Hoon Shin, M.D., Chung-Yeol Lee, M.D., Tae-Gyun Kim, M.D.
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Journal of the Korean Fracture Society 2010;23(1):109-112.
DOI: https://doi.org/10.12671/jkfs.2010.23.1.109
Published online: January 31, 2010
Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea.
- Address reprint requests to: Young-Ho Cho, M.D. Department of Orthopedic Surgery, Daegu Fatima Hosiptal, 576-31, Sinam-dong, Dong-gu, Daegu 701-600, Korea. Tel: 82-53-940-7320, Fax: 82-53-954-7417, fatimaos@unitel.co.kr
• Received: July 6, 2009 • Revised: September 7, 2009 • Accepted: October 29, 2009
Copyright © 2010 The Korean Fracture Society
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Abstract
- Stress fractures occur when the loads applied to a bone exceed the mechanical resistance and fall into two groups. Fatigue fractures, in which abnormal mechanical stress is applied to a normal bone, and insufficiency fractures, in which fracture occurs when stress of normal activity is applied to a bone that has decreased elastic resistance. Femoral shaft insufficiency fractures are reported rarely in patients with postmenopausal osteoporosis. We report a case of repetitive insufficiency fractures of the femoral shaft in 70 year-old female with marked osteoporosis.
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Fig. 1Femur anteroposterior (A) and lateral (B) radiographs shows 3 radiolucent lines of lateral femoral cortex with endosteal and periosteal new bone formation.
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Fig. 1
Femur anteroposterior (A) and lateral (B) radiographs shows 3 radiolucent lines of lateral femoral cortex with endosteal and periosteal new bone formation.
Fig. 2
Whole body radionuclide scan shows a focal uptake (dotted arrow) and two tiny transverse linear uptakes (linear arrows) of right femur shaft.
Fig. 3
CT scan of distal femoral shaft shows thickened lateral femoral cortex and endosteal new bone formation.
Fig. 1
Fig. 2
Fig. 3
Repetitive Insufficiency Fractures of the Femoral Shaft: A Case Report
