Displaced Stress Fracture of the Femoral Neck Treated by Valgus Subtrochanteric Osteotomy

Diwanji, Sanket R.; Kong, Il Kyu; Cho, Sang Gwon; Seon, Jong Keun; Yoon, Taek Rim

doi:10.1177/0363546507299241

Cited by 16 publications

(19 citation statements)

References 22 publications

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“…Apulia et al 17 found a correlation between low bone mineral density in the femur and stress fracture in military personnel. These fractures are also found in patients with an abnormal femoral anatomy, renal osteodystrophy, use of corticosteroids, amenorrhea, and osteomalacia 18, 19, 20, 21, 22, 23, 24. Most reports of bilateral stress fracture are related to bone insuficiency and are observed in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

“…Usually, radiographs demonstrate bone changes two or three weeks after the onset of symptoms; these alterations are diagnosed in less than 10–29% of cases18, 24 During radiographic examination, it is important to keep the lower limb in internal rotation, so that the entire length of the femoral neck is better shown. CT scan may help diagnosing, but MRI and bone scan are considered to be the most suitable exams for early diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral stress fracture of femoral neck in non-athlete – case report

Oliveira

Labronici

Neto

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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Bilateral stress fracture of femoral neck in healthy young patients is an extremely rare entity, whose diagnostic and treatment represent a major challenge. Patients with history of hip pain, even non-athletes or military recruits, should be analyzed to achieve an early diagnosis and prevent possible complications from the surgical treatment. This report describes a 43-year-old male patient, non-athlete, without previous diseases, who developed bilateral stress fracture of femoral neck without displacement. He had a late diagnosis; bilateral osteosynthesis was made using cannulated screws. Although the diagnosis was delayed in this case, the study highlights the importance of the diagnosis of stress fracture, regardless of the activity level of the patients, for the success of the treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bilateral stress fracture of femoral neck in non-athlete – case report

Oliveira

Labronici

Neto

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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show abstract

“…At the early stages the pain is present only during exercise. However, as the bone resorption progresses, the patient could experience intensive pain also at rest 3 32 33. Examination with plain radiographs was only performed in the second case and turned out to be normal.…”

Section: Discussionmentioning

confidence: 98%

“…Although plain radiographs are a routine examination, they have only 15–35% sensibility; thus, making the stress fracture difficult to discover in the first weeks after the onset of symptoms 3. That is why careful clinical examination and previous history with focus on recent activities and nutritional status are essential in the diagnostic process 32 33. Radionuclide bone-scanning and MRI have nearly 100% sensitivity and should, therefore, represent ‘the golden standard’ for detecting an early stage stress fracture 31…”

Section: Discussionmentioning

confidence: 99%

Displaced stress fracture of the femoral neck in young active adults

Polacek¹,

Småbrekke

2010

Case Reports

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SummaryStress fractures of the femoral neck in healthy individuals are rare and most prevalent among long-distance runners and military recruits. Women seem to be at higher risk of developing stress fractures because of possible eating disorders and, thereby, following amenorrhoea and osteoporosis. The majority of fractures of the femoral neck are undisplaced. However, they might progress into displaced fractures with avascular necrosis of the femoral head and following development of osteoarthritis as a probable consequence even when treated properly. Early diagnosis with MRI or radionuclide scanning in patients with a history of pain in the groin region during training might be crucial in detecting the fractures at early stages; thereby preventing possible complications following surgical treatment of displaced fractures. The authors present a report of two young adults who developed displaced fractures of the femoral neck and were treated with closed reduction and internal fixation. BACKGROUND

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“…Nevertheless, reports of successful management of femoral neck fatigue fracture nonunions are rare. The use of bone morphogenetic proteins [11], muscle pedicle grafts (Meyer's procedure) [12], valgus subtrochanteric osteotomies [13], and autologous bone graft harvesting from the iliac crest with cannulated screw fixation [14] have been described, respectively, in different case presentations all with good to excellent results. Arthroplasty is generally reserved for revision in young individuals.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Pseudarthrosis of the Femoral Neck in a 25-Year-Old Male with Hereditary Hypophosphatemic Rickets

Anthonissen

Ossendorf

Vetter

et al. 2014

Case Reports in Orthopedics

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Hereditary hypophosphatemic rickets (HHR) is a rare disorder of renal phosphate wasting and the most common form of heritable rickets. Here, we report a case of an active 25-year-old male with HHR showing atraumatic bilateral femoral neck pseudarthrosis after 4 years of consecutive knee pain. A conservative therapy was administered, taking into account both the risks of surgical treatment and the little impairment even in the sport activities which the patient experienced.

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Displaced Stress Fracture of the Femoral Neck Treated by Valgus Subtrochanteric Osteotomy

Cited by 16 publications

References 22 publications

Bilateral stress fracture of femoral neck in non-athlete – case report

Bilateral stress fracture of femoral neck in non-athlete – case report

Displaced stress fracture of the femoral neck in young active adults

Bilateral Pseudarthrosis of the Femoral Neck in a 25-Year-Old Male with Hereditary Hypophosphatemic Rickets

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