Isolated Fractures of the Greater Trochanter Report of 6 Cases

Kim, Sung Jae; Park, Byeong Mun; Yang, Kyung‐Soo; Kim, Do Yung

doi:10.3349/ymj.1988.29.4.379

Cited by 14 publications

(6 citation statements)

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“…Greater trochanteric fracture that extends to the lesser trochanter is relatively rare in hip fractures. Although their mechanism of injury is still unknown, they are probably caused by direct trauma because of fall or because of the abductor, lateral rotator, and iliopsoas muscles avulsing a bone fragment 1,2 . We were concerned about the secondary intertrochanteric/cervical fracture because of a decrease in bone strength accompanying with 1/3 cortical bone defect when these fractures were conservatively managed.…”

Section: Discussionmentioning

confidence: 99%

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Greater Trochanteric Fracture with Lesser Trochanter Extension

Yukata

Uchiyama

Nishida

et al. 2021

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Case: Two patients (aged 71 and 82 years) presented with a greater trochanteric fracture with lesser trochanter extension. These cases were successfully treated by prophylactic osteosynthesis to prevent secondary intertrochanteric/cervical fracture and to facilitate an early return to daily life. We also clarified the mechanical strength of the area that escaped bone fracture using the patient-specific computed tomography–based finite element method (CT/FEM). Conclusions: The present fractured femurs were shown to halve the axial compression strength and had only one-sixth torsional strength in patient-specific CT/FEM. These data support prophylactic surgery to prevent the secondary fractures because of this injury.

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Section: Discussionmentioning

confidence: 99%

“…I solated fractures of the greater trochanter are often seen and conservatively managed [1][2][3] . Combined fracture of greater and lesser trochanters without intertrochanteric/cervical extension is uncommon 4,5 .…”

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confidence: 99%

Greater Trochanteric Fracture with Lesser Trochanter Extension

Yukata

Uchiyama

Nishida

et al. 2021

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“…As such isolated fracture of greater trochanter are rare injury [3,11] , these fracture are seen as two distinct types which occur in two different groups. First type is epiphyseal separation which occurs in adolescent group and second is communited fracture of greater trochanter seen in adult [11] .…”

Section: Discussionmentioning

confidence: 99%

“…First type is epiphyseal separation which occurs in adolescent group and second is communited fracture of greater trochanter seen in adult [11] . In our case it was like avulsion of greater trochanter which is rare in that age group.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of greater trochanter presenting as avulsion fracture of greater trochanter-A case report

Dulani

Gupta

Singh

et al. 2013

Asian Pacific Journal of Tropical Disease

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“…Isolated fractures of the greater trochanter (GT) are relatively uncommon [ 1 , 2 ]. Traditionally, the diagnosis of isolated fracture of the GT was confirmed on plain radiographs and non-operative treatment with bed rest was recommended [ 1 , 3 ]. While a number of studies have described plain radiography diagnosis of simple GT fractures [ 2 – 6 ], it is often difficult to precisely determine the geographic extent of these injuries, and the actual proportion of cases with associated extension of the fracture into the intertrochanteric area is controversial [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Is magnetic resonance imaging necessary in isolated greater trochanter fracture? A systemic review and pooled analysis

Kim

Ahn

Kim

2015

BMC Musculoskelet Disord

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BackgroundIsolated fractures of the greater trochanter (GT) of the femur are uncommon and few studies have assessed the diagnosis and appropriate therapeutic schedule for these fractures. The current data regarding assessment of isolated fractures of the GT are limited to a few reviews based on the experience of a single institution. Therefore, we asked the following questions: (1) what proportion of cases has an associated extension of the fracture into the intertrochanteric region in isolated GT fracture and (2) what are the treatment options and outcomes of GT fractures with occult intertrochanteric fractures.MethodsWe conducted a systematic review of published studies that evaluated patients who displayed isolated GT fracture on routine radiographic examination and underwent a magnetic resonance imaging (MRI) scan because of the suspicion of extension into the intertrochanteric region. A structured literature review of multiple databases (PubMed, EMBASE, CINAHL, and Cochrane systematic reviews) referenced articles from 1950 to 2015.ResultsA total of 110 patients were identified from 7 published studies. MRI documented isolated GT fractures diagnosed on initial radiographs in only 11 of 110 patients (10 %). In 99 patients (90 %), MRI examinations revealed extension of the fracture into the intertrochanteric region. Surgical fixation was necessary for 61 patients, with a pooled percentage of 55 %. No complications were observed after surgery.ConclusionsOur study has helped to elucidate further the assessment of isolated fracture of the GT. We believe that MRI is a reasonable option for patients presenting with isolated GT fracture on plain radiographs.

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Isolated Fractures of the Greater Trochanter Report of 6 Cases

Cited by 14 publications

References 0 publications

Greater Trochanteric Fracture with Lesser Trochanter Extension

Greater Trochanteric Fracture with Lesser Trochanter Extension

Tuberculosis of greater trochanter presenting as avulsion fracture of greater trochanter-A case report

Is magnetic resonance imaging necessary in isolated greater trochanter fracture? A systemic review and pooled analysis

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