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Bilateral Insufficiency Fractures of Hip with SIF A Case Report and Literature Review
Keywords:
Insufficiency fractures femoral head, femoral neck and subchondral fracture.Abstract
Multiple Insufficiency fracture is a rare injury. To have a compression Sub Chondral Insufficiency fracture (SIF) in same hip is even rarer. The author's report an elderly lady with osteoporosis who had stress fractures of her spine with subsequent insufficiency fractures of both hips and a SIF. The patient's pain was eventually resolved with sequential total hip replacements. We believe that this is an unusual presentation of a rare injury and has never been reported before. We describe the circumstances and a literature review
References
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3. Iwamoto J, Takeda T. Insufficiency fracture of the femoral neck during osteoporosis treatment: a case report. J Orthop Sci. 2002 Dec;7(6):707-12. Erratum in: J Orthop Sci. 2003; 8(1):125.
4. Naci Ezirmik, Kadri Yildiz, Kenan Cadirci. Bilateral Femoral Neck Fracture-Related Hyperparathyroidism. Eurasian J Med 2011 Apr; 43(1):60-2.
5. Takuaki Yamamoto. Subchondral Insufficiency Fractures of the Femoral Head. Clin Orthop Surg. 2012 Sep; 4(3): 173–180.
6. YamamotoT, Bullough PG. Subchondral insufficiency fracture of the femoral head: a differential diagnosis in acute onset of coxarthrosis in the elderly. Arthritis Rheum, 1999; 42: 2719-23.
7. Hagino H, Okano T, Teshima R, Nishi T, Yamamoto K. Insufficiency fracture of the femoral head in patients with severe osteoporosis-report of 2 cases. Acta Orthop Scand, 1999 Jul;70: 87-9.
8. Bangil M, Soubrier M, Dubost JJ, Rami S, Carcanagues Y, Ristori JM. et al. Subchondral insufficiency fracture of the femoral head. Rev Rheum Engl Ed, 1996;63: 859-61.
9. Wise, J. Surgery for hyperparathyroidism is associated with reduced fracture risk. BMJ 2016;353:i1894 doi: 10.1136/bmj.i1894
10. Baig M, Mac dhaibheid C, Shannon F J. Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons learnt. 2018 Jan10(1); e2104. DOI 10.7759/cureus.2104.
11. GoroMotomura, Takuaki Yamamoto, Keita Miyanishi, Kenzo Shirasawa, Yasuo Noguchi, and Yukihide Iwamoto. Subchondral Insufficiency Fracture of the Femoral Head and Acetabulum: A Case Report; J Bone Joint Surg Am 2002 Aug;84:1205-1209.
12. L. Kates, Simon C. Mears. Guide to Improving the Care of Patients with Fragility Fractures. Edited by Stephen Geriatr Orthop Surg & Rehab. 2006 Jun;2(1) 5-37, 2011.
13. Osteoporosis: fragility fracture risk Short clinical guideline Evidence and recommendations 2012 Commissioned by the National Institute for Health and Clinical Excellence UK.
14. Resnick D, Goergen TG, Niwayama G. In: Rensnick D. Physical injury: Concepts and terminology. Diagnosis of bone and joint disorders. Philadelphia: Saunders. 1995;p.2561-2692.
15. Yong-Chan Ha, Myung-Rae Cho, Ki Hong Park, Shin-Yoon Kim, Kyung-Hoi Koo. Is Surgery Necessary for Femoral Insufï¬ciency Fractures after Long-term Bisphosphonate Therapy? Clin Orthop Relat Res. 2010 Dec;468(12):3393–3398. doi 10.1007/s11999-010-1583-2.
16. Yoshikawa T, Turner CH, Peacock M, Slemenda CW, Weaver CM, Teegarden D. et al. Geometric structure of the femoral neck measured using dual-energy X-ray absorbmetery. J Bone Miner Res 1994 Jul;9(7):1053-64.
17. Pentecost RL, Robert AM, Brindley HH. Fatigue, Insufficiency and pathologic fractures.. JAMA 1964 Mar;187:1001-4.
18. F. Leung, M. Blauth & S. Bavonratanavech. Surgery for fragility hip fracture—streamlining the process. Osteoporos Int. 2010 Dec;21(Suppl 4):S519–S521. doi 10.1007/s00198-010-1402-3.
19. Davis AM, Bradley SA Br. Iliac Insufficiency fractures. J Rheumatol 1991 Apr; 64(760):305-9.
20. Lin J, Lachman E, Nagler W. Sacral Insufficiency Fractures: a report of two cases and review of literature. J Womens Health Gend Based Med 2001 Sep;10(7):699-705.
21. Mirco Pietria and Silvia Lucarinib. The orthopaedic treatment of fragility fractures. Clin Cases Miner Bone Metab. 2007 May-Aug; 4(2): 108–116.
22. Sonoda K1, Yamamoto T, Motomura G, Kido H, Iwamoto Y. Subchondral insufficiency fracture of the femoral head after internal fixation for femoral neck fracture: histopathological investigation. Skeletal Radiol. 2014 Aug;43(8):1151-3. doi: 10.1007/s00256-014-1835-4. Epub 2014 Feb 14.
23. Verhaegen MJA, Sauter AJM. Insufficiency fractures an often-unrecognised diagnosis. Arch Orthop Trauma Surg. 1999;119:115-6.
24. Lim JW, Ng GS, Jenkins RC, Ridley D, Jariwala AC, Sripada S. Total hip replacement for neck of femur fracture: Comparing outcomes with matched elective cohort. Injury. 2016 Oct;47(10):2144-2148. doi: 10.1016/j.injury.2016.07.019. Epub 2016 Jul 19.
25. Ross MA, Maccauro G, D’Arienzo M. Bilateral acetabular fractures without Trauma. Int Orthop 1999;23:120-1.
26. Iba K, Wada T, Takada J, Yamashita T. Multiple insufficiency fractures with severe osteoporosis. J Orthop Sci. 2003;8(5):717-20.
2. Dr Yair Glick and A. Prof Frank Gaillard. Insufficiency fracture. Radiopaedia.org. Systems: Musculoskeletal, Spine. 2017 rID:1505
3. Iwamoto J, Takeda T. Insufficiency fracture of the femoral neck during osteoporosis treatment: a case report. J Orthop Sci. 2002 Dec;7(6):707-12. Erratum in: J Orthop Sci. 2003; 8(1):125.
4. Naci Ezirmik, Kadri Yildiz, Kenan Cadirci. Bilateral Femoral Neck Fracture-Related Hyperparathyroidism. Eurasian J Med 2011 Apr; 43(1):60-2.
5. Takuaki Yamamoto. Subchondral Insufficiency Fractures of the Femoral Head. Clin Orthop Surg. 2012 Sep; 4(3): 173–180.
6. YamamotoT, Bullough PG. Subchondral insufficiency fracture of the femoral head: a differential diagnosis in acute onset of coxarthrosis in the elderly. Arthritis Rheum, 1999; 42: 2719-23.
7. Hagino H, Okano T, Teshima R, Nishi T, Yamamoto K. Insufficiency fracture of the femoral head in patients with severe osteoporosis-report of 2 cases. Acta Orthop Scand, 1999 Jul;70: 87-9.
8. Bangil M, Soubrier M, Dubost JJ, Rami S, Carcanagues Y, Ristori JM. et al. Subchondral insufficiency fracture of the femoral head. Rev Rheum Engl Ed, 1996;63: 859-61.
9. Wise, J. Surgery for hyperparathyroidism is associated with reduced fracture risk. BMJ 2016;353:i1894 doi: 10.1136/bmj.i1894
10. Baig M, Mac dhaibheid C, Shannon F J. Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons learnt. 2018 Jan10(1); e2104. DOI 10.7759/cureus.2104.
11. GoroMotomura, Takuaki Yamamoto, Keita Miyanishi, Kenzo Shirasawa, Yasuo Noguchi, and Yukihide Iwamoto. Subchondral Insufficiency Fracture of the Femoral Head and Acetabulum: A Case Report; J Bone Joint Surg Am 2002 Aug;84:1205-1209.
12. L. Kates, Simon C. Mears. Guide to Improving the Care of Patients with Fragility Fractures. Edited by Stephen Geriatr Orthop Surg & Rehab. 2006 Jun;2(1) 5-37, 2011.
13. Osteoporosis: fragility fracture risk Short clinical guideline Evidence and recommendations 2012 Commissioned by the National Institute for Health and Clinical Excellence UK.
14. Resnick D, Goergen TG, Niwayama G. In: Rensnick D. Physical injury: Concepts and terminology. Diagnosis of bone and joint disorders. Philadelphia: Saunders. 1995;p.2561-2692.
15. Yong-Chan Ha, Myung-Rae Cho, Ki Hong Park, Shin-Yoon Kim, Kyung-Hoi Koo. Is Surgery Necessary for Femoral Insufï¬ciency Fractures after Long-term Bisphosphonate Therapy? Clin Orthop Relat Res. 2010 Dec;468(12):3393–3398. doi 10.1007/s11999-010-1583-2.
16. Yoshikawa T, Turner CH, Peacock M, Slemenda CW, Weaver CM, Teegarden D. et al. Geometric structure of the femoral neck measured using dual-energy X-ray absorbmetery. J Bone Miner Res 1994 Jul;9(7):1053-64.
17. Pentecost RL, Robert AM, Brindley HH. Fatigue, Insufficiency and pathologic fractures.. JAMA 1964 Mar;187:1001-4.
18. F. Leung, M. Blauth & S. Bavonratanavech. Surgery for fragility hip fracture—streamlining the process. Osteoporos Int. 2010 Dec;21(Suppl 4):S519–S521. doi 10.1007/s00198-010-1402-3.
19. Davis AM, Bradley SA Br. Iliac Insufficiency fractures. J Rheumatol 1991 Apr; 64(760):305-9.
20. Lin J, Lachman E, Nagler W. Sacral Insufficiency Fractures: a report of two cases and review of literature. J Womens Health Gend Based Med 2001 Sep;10(7):699-705.
21. Mirco Pietria and Silvia Lucarinib. The orthopaedic treatment of fragility fractures. Clin Cases Miner Bone Metab. 2007 May-Aug; 4(2): 108–116.
22. Sonoda K1, Yamamoto T, Motomura G, Kido H, Iwamoto Y. Subchondral insufficiency fracture of the femoral head after internal fixation for femoral neck fracture: histopathological investigation. Skeletal Radiol. 2014 Aug;43(8):1151-3. doi: 10.1007/s00256-014-1835-4. Epub 2014 Feb 14.
23. Verhaegen MJA, Sauter AJM. Insufficiency fractures an often-unrecognised diagnosis. Arch Orthop Trauma Surg. 1999;119:115-6.
24. Lim JW, Ng GS, Jenkins RC, Ridley D, Jariwala AC, Sripada S. Total hip replacement for neck of femur fracture: Comparing outcomes with matched elective cohort. Injury. 2016 Oct;47(10):2144-2148. doi: 10.1016/j.injury.2016.07.019. Epub 2016 Jul 19.
25. Ross MA, Maccauro G, D’Arienzo M. Bilateral acetabular fractures without Trauma. Int Orthop 1999;23:120-1.
26. Iba K, Wada T, Takada J, Yamashita T. Multiple insufficiency fractures with severe osteoporosis. J Orthop Sci. 2003;8(5):717-20.
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Published
2018-04-09
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Section
Case Report
How to Cite
Bilateral Insufficiency Fractures of Hip with SIF A Case Report and Literature Review. (2018). Journal of Pakistan Orthopaedic Association, 30(02), 88-92. https://mail.jpoa.org.pk/index.php/upload/article/view/191
