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Femoral Head Pathology in Subcapital Hip Fractures: Clinical Value and Cost-Effectiveness in a 230-Patient Case Series.
Diagnostics (Basel)
January 2025
Orthopedic Department, Meir Medical Center, Kfar Saba, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel Aviv 6997801, Israel.
Osteoporotic fractures, particularly subcapital hip fractures (SCF), pose a significant healthcare and economic burden. The routine pathological examination of resected femoral heads in such cases is common practice, aimed at identifying malignancies that may have contributed to bone fragility. This study evaluated the cost-effectiveness and clinical utility of routine femoral head pathology in patients undergoing surgical treatment for SCF.
View Article and Find Full Text PDFA Fragile Balance: Managing Femoral Neck Fracture, Transient Osteoporosis, and COVID-19 in Late Pregnancy.
Cureus
September 2024
Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Transient osteoporosis of the hip (TOH) during pregnancy is a rare, self-limiting condition that frequently goes undiagnosed. However, if not managed properly, TOH can lead to significant complications, such as pathological fractures. We report a case of a 29-year-old primigravida at 33 weeks and four days of gestation who presented with a right femoral neck fracture following a fall.
View Article and Find Full Text PDFHumeral rotation osteotomy is not associated with glenohumeral and scapulohumeral decentering at long-term follow-up.
J Shoulder Elbow Surg
August 2024
Department for Shoulder and Elbow Surgery, Schulthess Clinic, Zürich, Switzerland.
Background: Weber rotational osteotomy that increases humeral retrotorsion in patients with anterior shoulder instability has become unpopular because of recurrence of instability and high rates of early-onset osteoarthritis (OA). However, the wear pattern in patients after rotational osteotomy remains unknown. The aim of this study was to determine the influence of surgically increased humerus retrotorsion on glenohumeral and scapulohumeral centering in a long-term follow-up.
View Article and Find Full Text PDFFemoral Neck Fracture with Misdiagnosis of Osteonecrosis of the Femoral Head: A Two-Case Report.
Medicina (Kaunas)
June 2024
Department of Orthopaedics, Chia-Yi Christian Hospital, Chiayi 600, Taiwan.
We report two rare cases of femoral neck fracture resulting from osteonecrosis of the femoral head (ONFH) that was undiagnosed at the patients' initial visits. The patient in the first case had sequential bilateral displaced femoral neck fractures. Because no osteonecrosis of the femoral head was visible on X-ray film and the data of liver function tests were normal, ONFH was not diagnosed.
View Article and Find Full Text PDFModified Dunn Procedure for Open Reduction of Chronic Slipped Capital Femoral Epiphysis.
JBJS Essent Surg Tech
July 2024
Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Article Synopsis
- Abnormal femoral head shape from slipped capital femoral epiphysis (SCFE) can lead to hip problems like femoroacetabular impingement and early osteoarthritis, making surgical correction important to restore hip anatomy.
- The modified Dunn procedure offers a surgical approach that aims to correct the anatomy of the hip without damaging the blood supply to the femoral head, reducing the risk of osteonecrosis.
- The procedure involves a careful dislocation of the hip and meticulous shaping of bones while maintaining blood vessel integrity, allowing for effective repositioning and fixation of the femoral head.
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