Abstract:
:Intracapsular fractures of the hip have been classified by different authors with a basis on various concepts. Pauwels classified these fractures according to the angle of inclination; Linton used trabecular disposition among the fractural fragments, and Garden described four types according to the order of displacement. The AO group used the comprehensive classification of fractures of the long bones and divided them among types, groups, and subgroups. However, the presence of posterior comminution of the femoral neck in intracapsular fractures as a factor foretelling instability was overlooked by each of the aforementioned classifications. With a basis on the factors previously described, the current authors developed a classification in which the criteria of instability in intracapsular fractures are given priority. Consequently, the characteristics of full or partial lines, angulation, displacement, and the presence of posterior comminution have been considered. Radiology is the first complementary study for diagnosis; it enables observation of the fracture line or trabecular changes in most cases and fragmental displacement and posterior comminution of the neck. In patients with stress fractures, radiographs often fail to show alterations, so a different diagnostic methodology is required. A diagnosis algorithm is presented. Differential diagnoses are focused toward diseases that may reveal images of pseudofractures.
journal_name
Clin Orthop Relat Resjournal_title
Clinical orthopaedics and related researchauthors
Caviglia HA,Osorio PQ,Comando Ddoi
10.1097/00003086-200206000-00004subject
Has Abstractpub_date
2002-06-01 00:00:00pages
17-27issue
399eissn
0009-921Xissn
1528-1132pub_type
杂志文章,评审abstract::Reports using the Constant-Murley score often lack details regarding how strength measurement was performed, which may have an important impact on the results obtained. A description of the measurement is especially important when patients are unable to adopt the prescribed position of 90 degrees shoulder abduction, l...
journal_title:Clinical orthopaedics and related research
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abstract::A histologically normal insertion site does not regenerate following rotator cuff tendon-to-bone repair, which is likely due to abnormal or insufficient gene expression and/or cell differentiation at the repair site. Techniques to manipulate the biologic events following tendon repair may improve healing. We used a sh...
journal_title:Clinical orthopaedics and related research
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abstract::Surgical fusion may be indicated to stabilize deformed or painful hindfoot joints. Although more commonly performed in children or adolescents, it is the salvage procedure available for adults. Twenty-six patients (30 feet; 20 women, six men) followed for an average of 44.1 months after hindfoot arthrodesis were inves...
journal_title:Clinical orthopaedics and related research
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更新日期:1990-08-01 00:00:00
abstract::In 37 of 43 cases (86%) the late results of fasciotomy for chronic lateral epicondylitis were excellent or good. The initial result was maintained for an average of 8.0 years. The procedure is simple and morbidity is minimal. Patient selection and technical factors appeared to account for the failures. ...
journal_title:Clinical orthopaedics and related research
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更新日期:1978-09-01 00:00:00
abstract::The is a report of a 5-year-old girl with osteogenesis imperfecta, an uncommon abnormality considered to encompass several distinct disorders and biochemically classified as a connective tissue disease. Affected individuals, in the more severe form of the disease, often die in utero or shortly thereafter secondary to ...
journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章
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更新日期:1978-09-01 00:00:00
abstract::Specific congenital malformations of the spine are consistently associated with characteristic types of urinary tract malformation. Patients with defects of the spine such as spina bifida occulta, partial or complete absence of the sacrum, unilateral or bilateral failure of segmentation, and wedged vertebrae are not u...
journal_title:Clinical orthopaedics and related research
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更新日期:1980-05-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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更新日期:1981-01-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:1997-10-01 00:00:00
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:1979-05-01 00:00:00
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章
doi:10.1097/00003086-199902000-00018
更新日期:1999-02-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:2005-09-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:1997-03-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:2006-01-01 00:00:00
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章,随机对照试验
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更新日期:2014-01-01 00:00:00
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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doi:
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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更新日期:1997-11-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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更新日期:2013-08-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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doi:10.1097/00003086-199609000-00023
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章
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更新日期:2000-11-01 00:00:00
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journal_title:Clinical orthopaedics and related research
pub_type: 杂志文章
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更新日期:1994-04-01 00:00:00
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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journal_title:Clinical orthopaedics and related research
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更新日期:1978-03-01 00:00:00