Cases reported "Femoral Neck Fractures"

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1/304. Femoral neck stress fracture presenting as gluteal pain in a marathon runner: case report.

    A case is described of a 50-year-old man with a femoral neck stress fracture presenting as gluteal pain. An operative pinning procedure of the femoral neck was performed for stabilization. Femoral neck stress fractures are often misdiagnosed early in their presentation. The signs and symptoms can mimic those of more commonly seen disorders. Appropriate physiatric history and physical examination, along with indicated studies, will help prevent misdiagnosis and potentially serious complications associated with musculoskeletal pathology. ( info)

2/304. Eighteen fractures in a man with profound mental retardation.

    A 39-year-old man with generalized tonic clonic epilepsy and profound mental retardation sustained 18 fractures (15 in appendicular and 3 in axial bones) during 19 years. Both femoral necks were fractured, requiring surgical repair. Although he had been on antiepileptic drugs for 35 years, he had no radiographic or biochemical sign of osteomalacia. He had a very low bone mineral density, suggesting osteoporosis. This case illustrates an important medical problem affecting people with developmental disability and a management challenge for their caretakers. ( info)

3/304. Transient osteoporosis during pregnancy: the perioperative nurse's role.

    Perioperative nurses are confronted with ever changing demands in their daily practice. Perhaps the greatest challenge, however, is in the care of patients with multi-faceted health problems. These patients require the coordination of many multi-disciplinary team members in attempting to achieve optimum health. This paper will describe the case study of a 28 year old, 26 week primip, who presented to a tertiary care centre with spontaneous bilateral hip fractures of unknown origin. It will further discuss the disease process known as Transient osteoporosis during pregnancy, the surgical approach, and finally, the role of the perioperative nurse in coordinating the patient's perioperative care. ( info)

4/304. Bilateral femoral neck fractures secondary to hypocalcemic seizures in a skeletally immature patient.

    We report the case of an 11-year-old, skeletally immature boy who sustained bilateral femoral neck fractures during seizure activity. These fractures were due to hypocalcemia. Although this condition is a rare complication of seizures, its early recognition and treatment are essential to minimize complications associated with the delayed treatment of intracapsular hip fractures. ( info)

5/304. A fractured hip during electro-convulsive therapy.

    Bone injury while undergoing electro-convulsive therapy is thought to be rare. We report a case of hip fracture during treatment which was associated with osteoporosis. patients at increased risk could be identified. ( info)

6/304. Changes on magnetic resonance images after traumatic avascular necrosis of the femoral head.

    SUMMARY: We describe two cases of avascular necrosis after traumatic fracture of the femoral neck. The size and signal intensity of the necrotic areas changed on follow-up magnetic resonance images. magnetic resonance imaging is suitable for showing resolvable changes that radiographic study cannot demonstrate during the clinical course. ( info)

7/304. An unusual extraspinal cause of bilateral leg pain.

    low back pain with pain radiating to the lower extremities is common in patients referred to a spine center. Lumbar spine pathology is commonly the etiology of such symptoms, but extraspinal causes of back and leg pain can manifest as a radicular disorder. Extraspinal etiologies must be considered in the workup of back and leg pain. This report describes an unusual case of spontaneously occurring bilateral femoral neck stress fractures presenting as low back pain with seemingly bilateral L4 radicular symptoms. ( info)

8/304. Pseudosubluxation of the hip joint. A case report.

    The case of a 32-year-old man who had a subluxation of his hip joint after open reduction and internal fixation for an acetabular fracture is presented. The subluxation resolved without surgical intervention. It is thought that the subluxation, herein termed pseudosubluxation, is similar to pseudosubluxation seen in the shoulder. The patient had sustained significant trauma to the abductor musculature and lateral hip region with a Morel-Lavelle lesion and a hip fracture coincident with his acetabular fracture. This entity has not been reported previously. ( info)

9/304. homicide or accident off the coast of florida: trauma analysis of mutilated human remains.

    In the many years Dr. William R. Maples served as a forensic anthropologist, he saw diverse sources of trauma presented in the victims of violent crime, accident and suicide in the state of florida. In 1996 the District 18 Medical Examiner's Office of florida requested the assistance of Dr. Maples in the analysis of human remains recovered by the U.S. Coast Guard. The deceased was in an advanced state of decomposition characterized by skin slippage and discoloration. The torso bore multiple lacerations, including nearly parallel lacerations in the skin of the back. Specimens were carefully macerated and the fractures reconstructed. The skeletal trauma was caused by a device capable of delivering robust cuts and blunt trauma in linear paths, as is consistent with propeller trauma. Unusual in this case were blows to the ventral and dorsal surfaces of the body. Based on the anthropological analysis and interviews with the family of the deceased, the F.B.I. proceeded with the case as a homicide investigation. ( info)

10/304. Insufficiency fracture of the femoral neck after intramedullary nailing.

    We report a patient with insufficiency fracture that occurred after intramedullary nailing for a subtrochanteric fracture. Intramedullary nailing is speculated to have increased the stress in the already osteoporotic subcapital region. It therefore should be recognized as a causative factor in insufficiency fracture of the femoral neck. Careful follow-up is needed for patients with this condition. ( info)
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