Foot and Ankle Fractures in Elderly White Women

Hasselman, Carl T.; Vogt, Molly T.; Stone, Katie L.; Cauley, Jane A.; Conti, Stephen F.

doi:10.2106/00004623-200305000-00008

Cited by 202 publications

(130 citation statements)

References 10 publications

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“…Smoking and polypharmacy have shown to be independent risk factors for ankle fractures in elderly women (Valtola et al 2002). Interestingly, osteoporosis is not a risk factor, nor does prior ankle fracture predict subsequent major osteoporotic fractures (Hasselman et al 2003, Hak et al 2011, Pritchard et al 2012, Olsen et al 2013). However, osteoporosis is a risk factor for loss of reduction (Kettunen and Kröger 2005, Strauss et al 2007, McKean et al 2013, Olsen et al 2013, thus locking plates may be necessary in elderly patients to enhance angular stability (Kettunen andKröger 2005, McKean et al 2013).…”

Section: Elderly Patientsmentioning

confidence: 99%

Complications in ankle fracture surgery

Ovaska¹

2015

Acta Orthop

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Section: Elderly Patientsmentioning

confidence: 99%

Complications in ankle fracture surgery

Ovaska¹

2015

Acta Orthop

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“…Insufficiency fractures of the proximal fifth metatarsal in which there is underlying pathology can also occur. 6 …”

Section: Discussionmentioning

confidence: 99%

“…5 Furthermore, 56% of the reported 5521 fifth metatarsal osteoporotic fractures in an elderly white female population were of the proximal portion. 6 Clinical findings of metatarsal stress fractures mimic osteoarthritis, tendonitis, or vascular disease; and as a result, imaging will be part of the diagnostic workup. Currently, because of its low cost and high specificity (94%), plain film radiography is initially used when there is clinical suspicion of a stress fracture.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and serial sonography of a proximal fifth metatarsal stress fracture

Battaglia

Kaeser

Kettner

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe a fifth metatarsal stress fracture that was not detectable using conventional radiographs and was identified with diagnostic ultrasonography (US), confirmed with computed tomography, and followed through symptom resolution with US. Clinical features: A 68-year-old woman presented to a chiropractic teaching clinic for evaluation of right foot pain. Diagnostic US examination using an 8-to 15-MHz linear array transducer showed increased vascularity, periosteal elevation, and cortical disruption of the proximal diaphysis of the fifth metatarsal suggestive of a stress fracture. The patient was referred to an orthopedic specialist for comanagement. Intervention and outcome: The patient was treated by an orthopedist who confirmed a stress fracture using computed tomography, and she was fit with a short-leg walking boot. Serial US images were obtained to document fracture healing and exclude complications. After 6 months, the patient was asymptomatic and had resumed all of her daily activities. Conclusion: We report a case of a proximal fifth metatarsal stress fracture that was visualized with US and followed through symptom resolution by serial examinations.

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“…Vielmehr schienen der Body-Mass-Index (BMI) und eine evtl. vorliegende Sturzneigung eine Rolle zu spielen [9].…”

Section: Epidemiologieunclassified