scholarly journals Actual features of express diagnostic of acetabular fractures. Part III. Atypical fractures diagnostic algorithm. Associated local injuries

2020 ◽  
Vol 27 (1) ◽  
pp. 91-97
Author(s):  
S. S. Stoyukhin ◽  
A. F. Lazarev ◽  
Yu. G. Gudushauri

Authors shows atypical fracture patterns and rational algorithm for express diagnostic of this fractures. Associated local injuries are described.

2019 ◽  
Vol 26 (4) ◽  
pp. 46-54
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Yu. G Gudushauri

Authors shows rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on complex («associated») fracture types.


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0033
Author(s):  
Byeong-Seop Park ◽  
Seungbum Koo ◽  
Won-keun Park ◽  
Ki-bum Kwon ◽  
Kyoung Min Lee

Category: Trauma Introduction/Purpose: Long-term usage of bisphosphonate can severely suppress bone turnover and alter bone mechanical properties, thereby resulting in atypical fractures that mainly occur at the femur.We present a rare case of suspicious atypical fracture of the metatarsal bone. Methods: A 63-year-old woman presented to our clinic with a primary complain of a one-week history of pain in her right foot. The patient had no history of trauma to the right foot and denied any strenuous activity. She experienced lateral foot pain while walking within her home. She was on alendronate therapy for osteoporosis for a decade. X ray and CT examination revealed a fifth metatarsal fracture whose features were compatible with those of atypical femoral fractures (Figure 1). Results: The patient was advised to discontinue alendronate and underwent percutaneous surgical fixation of the fracture via a proximal approach using a 4.0-mm half-threaded cannulated screw. Postoperatively, a short leg cast was created and the patients performed non-weight bearing ambulation until the cast was removed at the sixth postoperative week. Radiography in the sixth postoperative week revealed callus formation. Conclusion: Our findings suggest that physicians must keep in mind that atypical fractures could possibly occur at bones other than the femur.


2019 ◽  
Vol 12 (7) ◽  
pp. e229366 ◽  
Author(s):  
Juan Tan ◽  
Hiroshige Sano ◽  
Kenneth Poole

A 35-year-old man with juvenile idiopathic arthritis since childhood presented with bilateral atypical tibial fractures, followed by a later, single atypical fracture of the femur. The fractures were associated with 6 years of oral alendronate treatment immediately followed by subcutaneous denosumab therapy and later teriparatide therapy for osteoporosis. Atypical fractures are known to occur in the femur following bisphosphonate therapy; however, there are only a few documented cases of atypical fractures in the tibia. Our case highlights a rare but serious complication of a commonly prescribed antiresorptive agent. It also shows that teriparatide, while helpful in increasing bone mass, does not fully prevent the development of atypical fractures. Careful investigation should be considered in patients on long-term antiresorptive therapy presenting with bony tenderness to exclude an atypical fracture.


1982 ◽  
Vol 138 (3) ◽  
pp. 407-412 ◽  
Author(s):  
LA Mack ◽  
JD Harley ◽  
RA Winquist

1998 ◽  
Vol 102 (5) ◽  
pp. 1409-1421 ◽  
Author(s):  
John A. Girotto ◽  
Jack Davidson ◽  
Michael Wheatly ◽  
Rick Redett ◽  
Tom Muehlberger ◽  
...  

2000 ◽  
Vol 14 (4) ◽  
pp. 230-237 ◽  
Author(s):  
Andrea M. Saterbak ◽  
J. Lawrence Marsh ◽  
James V. Nepola ◽  
Eric A. Brandser ◽  
Timothy Turbett

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Hiroki Ito ◽  
Naohisa Miyakoshi ◽  
Yuji Kasukawa ◽  
Takeshi Sato ◽  
Hitoshi Kubota ◽  
...  

Atypical fractures commonly arise in the subtrochanteric region or the femoral shaft, whereas those of the upper extremities are rare. Only 15 fractures in 13 patients have been described in the English literature. The management of such fractures has not been established. We describe a patient with an atypical fracture of the ulnar diaphysis, which required revision surgery to achieve the union of the fracture site. Teriparatide together with low-intensity pulsed ultrasound contributed to bone healing. Further studies are needed to determine the optimal strategy for treating atypical fractures of the ulna.


2019 ◽  
Vol 26 (3) ◽  
pp. 37-48
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Ya. G Gudushauri ◽  
S. E Solod

This article describes main radiologic signs of bony structures that form acetabulum. The methods of poly projection x-rays study and evaluation of it are described. Also, authors show rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on simple fracture types.


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