Abstract:
:Bisphosphonates are the most commonly prescribed drugs to treat osteoporosis because they have been proposed to prevent bone loss. Nevertheless, in up to 0.1% of patients, long-term use may cause atypical stress or insufficiency femoral fractures. Bilateral femoral shaft fractures have been reported after long-term use of bisphosphonates; however, there is limited evidence of the effect of short-term use. The current study reports a case of bilateral femoral fractures after a low-energy fall in a 56-year-old woman and provides a review of the literature on bilateral femoral shaft fractures after long-term use of bisphosphonates. Patients should be educated about the potential for stress fractures with the use of this treatment. In patients with thigh pain, a thorough history and physical examination, including the contralateral thigh, may be beneficial to detect bilateral traumatic or atypical stress fracture patterns. More studies with larger sample sizes are necessary to better identify patients who may be at risk for fracture, including histomorphometric evidence of low bone turnover in patients with unfortunate bilateral cases.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Rifai A,Pourtaheri S,Carbone A,Callaghan JJ,Stadler CM,Record N,Issa Kdoi
10.3928/01477447-20150204-90subject
Has Abstractpub_date
2015-02-01 00:00:00pages
e139-42issue
2eissn
0147-7447issn
1938-2367journal_volume
38pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Radiocarpal fracture-dislocations are uncommon injuries, comprising a spectrum of trauma to the capsuloligamentous complex and osseous structures of the radiocarpal joint along with the adjacent structures. Management guidelines are derived from limited case series and expert opinions. An understanding of the relevant...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130523-07
更新日期:2013-06-01 00:00:00
abstract::Jumper's knee is a common cause of anterior knee pain among athletes and active populations. Numerous treatments have been described with variable results. To better delineate this, the authors reviewed all articles from 2000 to 2014 pertaining to the treatment of patellar tendinopathy, focusing namely on treatment of...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160714-06
更新日期:2016-11-01 00:00:00
abstract::Over a 10-year period, 74 patients with unstable pelvic injuries were treated with open reduction and internal fixation. Radiographic and clinical follow-up averaged 71 months (range: 38-141 months). Satisfactory (ie, good and very good) radiographic results were obtained in 90% of patients. Clinical results were supe...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::Although distal humeral fractures are well described in the literature, concomitant distal triceps avulsion has not previously been reported. One population that warrants a high index of suspicion for tendon injury after trauma is patients with renal disease. Clinical tests on such patients may yield equivocal results...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-26
更新日期:2010-03-01 00:00:00
abstract::Avascular necrosis of the femoral head is usually seen in children aged 1.5 to 10 years, reaching a peak incidence between the ages of 4 and 9. Avascular necrosis of the femoral head is a known complication of corticosteroid therapy in acute lymphoblastic leukemia. There are few reports in the literature regarding the...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110826-07
更新日期:2011-10-05 00:00:00
abstract::Hip arthrodesis remains an option for treatment of severe arthritis in young persons resulting primarily from osteonecrosis, congenital dysplasia, and joint sepsis. The authors reviewed six patients who underwent fusions as young adults (average age: 30.8 years) with an average follow-up period of 11.7 years. Solid ar...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::The operative treatment of olecranon fractures is controversial. Proponents of open reduction and internal fixation cite restoration of anatomy and rigid fixation, while proponents of excision of fracture fragments with repair of the extensor mechanism cite few complications and a rapid return of motion and function. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::This study presents a consecutive series of patients who underwent total knee arthroplasty (TKA) after prior distal femoral fracture without hardware removal. The purpose of this study was to determine the effectiveness of computer-assisted TKA in patients with posttraumatic arthritis, specifically those with retained...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20120919-55
更新日期:2012-10-01 00:00:00
abstract::We prospectively monitored pain scores on 24 patients who underwent bilateral total knee arthroplasty (TKA). Patients were blinded to receiving either a functional or placebo pain control infusion pumps. After 3 days, pump volume was recorded, and patients were asked to identify which knee they believed received the f...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110124-18
更新日期:2011-03-01 00:00:00
abstract::Bone grafts are used for reconstructing bone defects caused by implant-associated complications, trauma, and tumors. Surgery with bone allografts is complex and time consuming; therefore, it is prone to a higher infection rate (2.0%-2.5%). In the case of site infection, systemically administered antibiotics cannot rea...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140728-50
更新日期:2014-08-01 00:00:00
abstract::49 patients underwent subcutaneous lateral retinacular release for pa tell of emo ral malalignment syndromes by a new technique utilizing the arthroscope and electrocautery. In this technique, the tight lateral patellofemoral ligament and lateral retinaculum are transected with the electrocautery under direct arthrosc...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19820301-06
更新日期:1982-03-01 00:00:00
abstract::Orthopedic patients are often instructed on how much weight to bear on an injured or postoperative extremity. Although specific weight-bearing instructions are given to a majority of lower-extremity orthopedic patients, the ability of patients to comply with these instructions is questioned in the medical literature. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-14
更新日期:2012-01-16 00:00:00
abstract::Antimicrobial resistance has been problematic since the advent of antibiotics. Patients with prosthetic joint infections often require prolonged courses of antibiotic therapy, with resistance commonly being the consequence. The rapid evolution of resistance poses a serious challenge in the treatment of infections and ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120327-42
更新日期:2012-04-01 00:00:00
abstract::Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many diffe...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20130122-51
更新日期:2013-02-01 00:00:00
abstract::Neurologic injury is a rare but devastating complication of spinal surgery that can result in mild sensory to severe motor deficits. Surgeons increasingly use electrophysiological spinal cord function monitoring, including somatosensory- and motor-evoked potentials, intraoperatively to provide information about spinal...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120822-40
更新日期:2012-09-01 00:00:00
abstract::Outpatient arthroplasty is an appealing option among select patient populations as a mechanism for reducing health care expenditure. The purpose of this study was to determine the nationwide trends and complication profile of outpatient total shoulder arthroplasty (TSA). The authors reviewed a national administrative ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180409-01
更新日期:2018-05-01 00:00:00
abstract::There are several reported disadvantages with conventional-length femoral stems in cementless total hip arthroplasty (THA). Therefore, various efforts have been made to develop a specific femoral short stem to improve physiologic bone remodeling at the femoral aspect of a cementless THA. However, there are potential d...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160222-04
更新日期:2016-03-01 00:00:00
abstract::Although there is no documented, objective evidence that symptomatic post-polio subjects are rapidly losing strength, they have a number of neuromuscular deficits related to a more severe poliomyelitis illness that may explain why they complain of problems with strength, endurance, and local muscle fatigue. Symptomati...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::Lumbosacral pain is common in the general population and among athletes. Many athletes are diagnosed with low back strain and treated with nonsteroidal anti-inflammatories, rest, and muscle relaxers. However, the differential for low back pain in athletes is broad and includes many potential etiologies such as: lumbar...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-23
更新日期:2010-11-02 00:00:00
abstract::This prospective cohort study used video electromyography synchronized analysis to determine the dynamic use of extrinsic and intrinsic finger flexion during grasp. Light fist formation primarily involved the flexor digitorum profundus with either the flexor digitorum superficialis or intrinsics. In contrast, both the...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20190812-06
更新日期:2019-11-01 00:00:00
abstract::Adhesion formation between the flexor tendon and its surrounding fibro-osseous sheath results in a decreased postoperative range of motion (ROM) in the hand. Transforming growth factor-beta (TGF-β) is a key cytokine in the pathogenesis of tissue fibrosis. In this study, the effects of TGF-β1 neutralizing antibody were...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-06
更新日期:2010-11-02 00:00:00
abstract::The Charité III (DePuy Spine, Inc, Raynham, Massachusetts) and ProDisc II (Synthes Spine, West Chester, Pennsylvania) artificial disk replacements were approved for use by the United States Food and Drug Administration in October 2004 and January 2006, respectively. The purpose of this study was to retrospectively rev...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090624-08
更新日期:2009-08-01 00:00:00
abstract::Flexion-distraction injuries of the thoracolumbar spine and the "seat belt syndrome" are reviewed. The incidence, pathogenesis, classification, diagnosis, and treatment of these injuries are discussed. ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:1992-03-01 00:00:00
abstract::Forty-two patients who underwent decompressive surgery for cervical spondylotic myelopathy were studied. The pre- and postoperative magnetic resonance imaging (MRI) findings and the Japanese Orthopedic Association score were analyzed to evaluate whether the different appearances of intramedullary high-signal intensity...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract::This prospective study was conducted on 108 consecutive implantations straight, cementless, taper-designed stem with variable lateral flare (Pegasus; DePuy, Warsaw, Indiana) at an 8- to 10-year follow-up; DEXA scanning was performed at 3 and 12 months on a second cohort of 40 patients. The mean Harris hip score was 94...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20071101-09
更新日期:2007-11-01 00:00:00
abstract::Total hip arthroplasty (THA) can be performed through multiple surgical approaches, including anterior, anterolateral, lateral, transtrochanteric, posterolateral, posterior, and the 2-incision technique. The overwhelming majority of THAs today are performed through a posterolateral approach, which has many advantages:...
journal_title:Orthopedics
pub_type: 评论,杂志文章
doi:10.3928/01477447-20110714-29
更新日期:2011-09-09 00:00:00
abstract::Fragility fractures of the distal radius represent an opportunity to diagnose and treat osteoporosis before further fractures occur. The goal of this study was to determine the prevalence of prescriptions for calcium/vitamin D supplementation and the prevalence of dual-energy x-ray absorptiometry (DEXA) scans in patie...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20141124-53
更新日期:2014-12-01 00:00:00
abstract::The purpose of this study is to demonstrate that the percentage of obese individuals initially presenting to total joint arthroplasty clinics in a public, tertiary hospital is greater than the proportion of obese individuals in the general population. In a retrospective, comparative study of patients seen in total joi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151222-12
更新日期:2016-01-01 00:00:00
abstract::Since its inception, arthroscopic surgery has become widely adopted among orthopedic surgeons. It is therefore important to have an understanding of the basic principles of arthroscopy. Compared with open techniques, arthroscopic procedures are associated with smaller incisions, less structural damage, improved intra-...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160427-01
更新日期:2016-05-01 00:00:00
abstract::The implants used in reverse shoulder arthroplasty were originally designed for white patients; thus, they might not be optimal for smaller Asian patients. The selection of reverse shoulder arthroplasty systems is limited in Japan. The purpose of this study was to measure the geometry of the proximal humerus in elderl...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170308-03
更新日期:2017-05-01 00:00:00