Hip Trauma

2019 ◽  
pp. 93-96
Author(s):  
Winnie A. Mar ◽  
Tyson S. Chadaz
Keyword(s):  
Femoral Neck ◽  
Hip Fractures ◽  
Hip Dislocation ◽  
Femoral Neck Fractures ◽  
High Association ◽  
Lesser Trochanter ◽  
Imaging Characteristics ◽  
Imaging Strategy ◽  
Hip Trauma ◽  
Occult Hip Fractures

Chapter 19 on hip trauma reviews the mechanism of injury and clinical features, imaging strategy, imaging characteristics, and treatment of hip fractures. Femoral neck fractures, intertrochanteric fractures, greater and lesser trochanter fractures, and hip dislocations are discussed. The Garden classification of femoral neck fractures is delineated. Detection of radiographically occult hip fractures is also discussed. It is important to assess for an intraarticular fragment after hip dislocation, best seen on CT. There is a high association of underlying metastasis with lesser trochanter fractures in adults. MRI is the study of choice in the evaluation of occult hip fractures.

HIP FRACTURES IN 5 YEARS AT HUE UNIVERSITY HOSPITAL

2014 ◽  
pp. 47-50
Author(s):  
Duy Binh Ho ◽  
Nghi Thanh Nhan Le ◽  
Maasalu Katre ◽  
Koks Sulev ◽  
Märtson Aare
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Hip Fractures ◽  
Age Groups ◽  
Femoral Fractures ◽  
Femoral Neck Fractures ◽  
University Hospital ◽  
High Risk Population ◽  
Intertrochanteric Fractures ◽  
Significant Difference

Aim: This study aimed to review the clinical findings and surgical intervention of the hip fracture at the Hue University Hospital in Vietnam. Methods:The data of proximal femoral fractures was collected retrospectively. All patients, in a period of 5 years, from Jan 2008 to December 2012, suffered either from intertrochanteric or femoral neck fractures. The numbers of patients were gathered separately for each year, by age groups (under 40, 40-49, 50-59, 60-69, 70-79, older) and by sex. We analyzed what kind of treatment options were used for the hip fracture. Results:Of 224 patients (93 men and 131 women) studied, 71% patients are over 70 years old, 103 women and 56 men (p<0.05). For patients under 40 years, there were 1 woman and 11 men (p<0.05). There were 88 intertrochanteric and 136 femoral neck fractures. There was no significant difference in the two fractures between men and women. The numbers of hip fracture increased by each year, 29/224 cases in 2010, 63/224 cases in 2011, 76/224 cases in 2012. Treatment of 88 intertrochanteric fractures: 49 cases (55.7%) of dynamic hip screw (DHS), 14 cases of hemiarthroplasty (15.9%), 2 cases of total hip replacement (2.3%). Treatment of 136 femoral neck fractures: 48 cases of total replacement (35.3%), 43 cases of hemiarthroplasty (31.6%), 15 cases of screwing (11%). In cases of 40 patients (17.9%) hip fracture was managed conservatively, 23 were femoral neck fractures and 17 were intertrochanteric fractures. Conclusions: Hip fracture is growing challenge in Hue medical university hospital. The conservative approach is still high in people who could not be operable due to severe medical conditions as well as for patients with economic difficulties. Over 70% of the hip fractures in people 70+ are caused by osteoporosis. The number of hip fracture is increasing in the following years, most likely due to the increase in the prevalence of osteoporosis. Early detection and prevention of osteoporosis should be addressed, particularly in high risk population. More aggressive surgical approach should be implemented in order to improve the quality of life in patients with hip fractures. Key words:Hip fracture.

scholarly journals Hip fractures among the elderly in Kyoto, Japan: a 10-year study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Maki Asada ◽  
Motoyuki Horii ◽  
Kazuya Ikoma ◽  
Tsuyoshi Goto ◽  
Naoki Okubo ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Incidence Rate ◽  
Acute Care ◽  
Hip Fractures ◽  
Age Groups ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Age Group ◽  
Trochanteric Fractures

Abstract Summary In Kyoto Prefecture, Japan, the number of hip fractures increased during 2013–2017 compared to 2008–2012. However, the estimated overall incidence rate increased only in femoral neck fractures in men aged ≥75 and women aged ≥85. Purpose The incidence rate of hip fractures in Japan has plateaued or decreased. We investigated the annual hip fracture occurrences in Kyoto Prefecture, Japan, from 2008 to 2017. Methods Patients aged 65 years and above who sustained hip fractures between 2008 and 2017 and were treated at one of the participating 11 hospitals were included. The total number of beds in these institutions was 3701, accounting for 21.5% of the 17,242 acute-care beds in Kyoto Prefecture. The change in incidence rate was estimated utilizing the population according to the national census conducted in 2010 and 2015. Results The total number of hip fractures was 10,060, with 47.5% femoral neck fractures and 52.5% trochanteric fractures. A decrease in number was seen only in trochanteric fractures in the group of 75- to 84-year-old women. The population-adjusted numbers of femoral neck fractures showed a significant increase in all age groups in men, whereas in women, there was an increase in femoral neck fractures in the ≥85 group and trochanteric fractures in the age group 65–74, and a decrease in trochanteric fractures in the age group 75–84. The estimated change in incidence rate showed an increase in femoral neck fractures in men aged ≥75 and women aged ≥85. Conclusion In Kyoto Prefecture, the number of hip fractures increased in the second half of the study period (2013–2017) compared to the first half (2008–2012). However, the incidence rate had not increased, except in femoral neck fractures in men aged ≥75 and women aged ≥85.

Comparison of Bone Mineral Density at Hip and Lumbar Spine in Patients with Femoral Neck Fractures and Pertrochanteric Fractures

2021 ◽  
Vol 23 (1) ◽  
pp. 45-49
Author(s):  
Chulin Chewakidakarn ◽  
Varah Yuenyongviwat
Keyword(s):  
Lumbar Spine ◽  
Femoral Neck ◽  
Hip Fractures ◽  
Dual Energy ◽  
Femoral Neck Fractures ◽  
University Hospital ◽  
Mineral Density ◽  
Pertrochanteric Fractures ◽  
X Ray ◽  
Total Hip

Background. Geriatric hip fractures, including femoral neck and pertrochanteric fractures, are common nowadays, which is related to increasing numbers of elderly people worldwide. Osteoporosis is an important risk factor associated with hip fractures. This study aimed to describe the association of hip fractures and osteoporosis at different BMD measurement sites and determine any differences between these two types of hip fracture. Material and methods. A retrospective study conducted in a university hospital in the south of Thailand enrolled 223 patients aged over 50 years with low-energy trauma hip fractures. Each patient had undergone dual energy x-ray absorptiometry (DXA) within 2 weeks of injury. T-scores were recorded for the total hip, femoral neck and lumbar spine areas and classified as normal, osteopenia and osteoporosis according to WHO osteoporosis diagnostic criteria. Results. The highest proportion of T-scores in the osteoporotic range were registered at the femoral neck (68.6%) compared to total hip (52.9%) and lumbar spine (47.7%). At least 31.4% of patients were in the non-osteoporotic range. No significant differences were found at all sites of BMD measurement between the two types of fracture. Conclusions. 1. At least 1/3 of patients with geriatric hip fractures had their T-scores in the normal to oste­ope­nic range. 2. BMD in different areas is not different between types of hip fractures.

scholarly journals Bilateral femoral neck fractures resulting from a grand mal seizure in an elderly man with Down syndrome

2010 ◽  
Vol 2 (1) ◽  
pp. 10 ◽  
Author(s):  
Jonathan P. Marsh ◽  
Jeff R.S. Leiter ◽  
Peter MacDonald
Keyword(s):  
Down Syndrome ◽  
Femoral Neck ◽  
Hip Dislocation ◽  
Femoral Neck Fractures ◽  
Severe Dementia ◽  
Non Union ◽  
The Past ◽  
Displaced Femoral Neck Fractures ◽  
Grand Mal ◽  
Bilateral Hip Fractures

Simultaneous bilateral hip fractures are exceedingly rare and usually occur following a seizure. To our knowledge, only 22 cases of such injuries have been reported in the literature during the past forty years and the majority of fractures are treated with open reduction and internal fixation. We present a case of a 66-year old man with Down syndrome and severe dementia who was diagnosed with bilateral displaced femoral neck fractures following an epileptic seizure. He was treated with single staged bilateral uncemented monopolar hemi-arthroplasties through lateral Hardinge approaches. The treatment choice was governed by fracture displacement, the lack of pre-existing osteoarthritis, length of time to diagnosis, the patient’s age, ambulatory status and mental impairment, with the intention to minimize post-operative complications such as avascular necrosis, non-union and hip dislocation.

scholarly journals A PROSPECTIVE STUDY OF COMPLICATIONS IN BIPOLAR HEMIARTHROPLASTY USING MODIFIED HARDINGE APPROACH IN THE MANAGEMENT OF FEMORAL NECK FRACTURES

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Mukka Naveen ◽  
N. Srinivas Reddy
Keyword(s):  
Femoral Neck ◽  
Functional Outcomes ◽  
Hip Dislocation ◽  
Femoral Neck Fractures ◽  
Surgical Approaches ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Geriatric Population ◽  
Neck Fracture ◽  
Hardinge Approach

Introduction: Fracture of femoral neck is on the rise in the recent years owing to the increase in the geriatric population, severe osteoporosis and increased brittleness of the bone with advancing age. Total hip replacement was mostly used in the initial days but owing to higher chances of dislocations, it is less preferred. Bipolar hemiarthroplasty has become one of the main methods of treatment. A variety of surgical approaches have been used. Posterior approach is the most preferred approach currently, followed by Hardinge approach. Complications like dislocation, infection and abductor lurch are still common with current approaches. This study was undertaken to show the functional outcomes of a Modified Hardinge approach which seems to have optimal results out of all the approaches. Aim: To evaluate the functional outcomes and complications of modified hardinge approach. Materials and Methods: A total of 20 patients with fracture neck of femur were taken into the study and treated with Bipolar Hemiarthroplasty using modified Hardinge approach between June 2018 and October 2019. Each patient was put through the same preoperative and postoperative protocols. They was screened for comorbidities and were taken up for surgery. Complications after this approach were evaluated post operatively for a period of 6 months. Results: The mean hip score was 80. Complications like posterior hip dislocation and infection were nil. Abductor lurch was not noted in any of the patients. One patient had infection out of 20 which was managed accordingly. Conclusion: Bipolar hemiarthroplasty through modified Hardinge approach can be used in the management of femoral neck fractures with lowest complication rate. Complications like posterior dislocation and abductor lurch were nil in the study. The only downside of the procedure being a longer learning curve makes it a less used approach compared to others. Keywords: Hemiarthroplasty, modified Hardinge approach, femoral neck fracture

INTERRELATION BETWEEN RECOVERY PERIOD OF FEMORAL NECK FRACTURES AND BONE MINERAL DENSITY

2021 ◽  
pp. 17-22
Author(s):  
SERGEY A. MORDOVIN ◽  
ANTON N. PETRUHIN
Keyword(s):  
Bone Mineral Density ◽  
Bone Density ◽  
Femoral Neck ◽  
Bone Mineral ◽  
Hip Fractures ◽  
Postoperative Period ◽  
Recovery Period ◽  
Femoral Neck Fractures ◽  
Mineral Density ◽  
The World

At present, there is a demographic trend towards a decrease in the population all over the world, with a relative increase in the proportion of elderly and senile people, among whom the incidence of osteoporosis is steadily increasing. The relevance of the problem of osteoporosis is determined by its complications: a progressive decrease in bone density and, as a result, fractures, which are most often in the nature of low-energy trauma. Of these, the most unfavorable are fractures of the proximal femur, which are not only a medical problem but also a social problem all over the world. The tactic of choice for hip fractures is surgical intervention, but the use of osteosynthesis does not always provide a favorable outcome: the process of consolidation in the postoperative period is determined by a combination of factors, among which the mineral density of the patient's bone tissue plays a significant role. The aim of the study is to study the relationship between the fusion of femoral neck fractures depending on the bone mineral density. Materials and methods: the study involved 266 patients with hip fractures who underwent osteosynthesis with various metal structures. The analysis of the results of the postoperative period of the selected patients was carried out on the basis of clinical and X-ray examination and determination of bone density. The statistical analysis was performed using the SPSS Statistics 21 program. It was shown that in the groups with a decrease in bone mineral density, the consolidation of the fracture occurred later than in the group where patients did not have concomitant osteopenia or osteoporosis.

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