Stress fractures are overuse injuries of bone. These fractures, which may be nascent or complete, result from repetitive subthreshold loading that, over time, exceeds the bone's intrinsic ability to repair itself. Briefhaupt originally described stress fractures in military recruits in 1855. Our present understanding of the pathophysiology of stress fractures...

Singapore Med J 2002 Vol 43(4) : 205-207
Management of Pathological Fracture Neck of the Femur Following Recent Osteomyelitis in a Child A S Devnani
ABSTRACT Fracture neck of the femur is rare in children and occurs following severe trauma(1-5). Several recommendations have been made for the treatment of displaced transcervical fracture type II (Delbet classification)(1,2,5-8). However there are no...

Hip fractures are classified as intracapsular, which includes femoral head and neck fractures, or extracapsular, which includes trochanteric, intertrochanteric, and subtrochanteric fractures. The location of the fracture and the amount of angulation and comminution play integral roles in the overall morbidity of the patient, as does the preexisting physical condition...

Abstract Aims: To examine the roles of fracture stability, anatomical reduction and screw position on cut through failure of Dynamic Hip Screw (DHS) implants. Methods: This is a retrospective study of consecutive patients treated with a DHS implant following intertrochanteric fractures of the proximal femur. Fracture stability was assessed from fracture...

Hip fractures can be divided into two groups: intra-capsular femoral neck fractures (further localized as subcapital, transcervical or basicervical) and extra-capsular peri-trochanteric fractures, namely the intertrochanteric and subtrochanteric fractures.
Unlike a femoral neck fracture, the intertrochanteric region has good blood supply to cancellous bone, and thus has good healing potential. Unlike...

Subtrochanteric fractures are fractures that occur in a zone extending from the lesser trochanter to 5cm distal to the lesser trochanter, however extension into the intertrochanteric region is common. These fractures are more difficult to treat as compared to intertrochanteric fractures due to the powerful muscle forces acting on the...

55 BHU bicentric bipolar hemiarthroplasties were reviewed after a mean follow up of 4 years (range 1-5 years). Patients with displaced subcapital fractures were selected for operation on the basis of good mobility before the fracture. Object of the study was to see the efficacy of BHU bipolar prostheses and...

The Old Begets the New: Trochanteric Nail Insertion for Femoral Shaft Fractures, Revisited
Purpose : Intramedullary (IM) nailing of femoral shaft fractures through a trochanteric starting point with the patient in a lateral decubitus position was popularized in the 1940s by G. Kuntscher. Large diameter nails (without locks) were used to obtain an interference...

Hip fractures are treated in one of two ways: Traction or orthopedic surgery. Contents 1 Non-operative treatment 2 Operative treatment 2.1 Surgery for fractured neck of femur 2.2 Surgery for intertrochanteric fracture 2.3 Prognosis post operation 3 Complications 3.1 Complications of the injury 3.2 Surgical complications 3.3 General medical complications

Radiology case 438-5319 Clinical presentation: Spontaneous fracture of the neck of the right femur precipitated a hospital admission for this middle aged male, where a markedly raised serum calcium was identified. Eventually, a small mass was removed from the neck.
The images show acro-osteolysis of the terminal phalanges, which improved in...

destruction is widespread and obvious. Close inspection Multiple Myeloma of the largest lesion shows it to be purely lytic, without any matrix or calcification. There are numerous "tear-drop" shaped lytic lesions in the Multiple Myeloma left femur. Pathologic fracture of the neck of the femur can be clearly seen.
For all...

Most fractures through the femur neck and intratrochanteric regions occur in the elderly due to osteoporotic bone and or muscular incordination resulting in a fall. If a young patient suffers a fracture here it is often due to significant trauma and is often associated with other fractures and injuries.
The general...