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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 23 - 32 (10page)
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초록· 키워드
오류제보하기
Purpose: Isolated greater trochanteric (GT) fractures are often identified using plain radiography of patients with post-traumatic hip pain. In many cases, the fracture extends to form an occult intertrochanteric fracture. We conducted a study to determine the frequency of occult intertrochanteric fractures in patients diagnosed with isolated GT fractures using plain radiographs. Materials and Methods: Among 3,017 individuals who visited our emergency department with a trauma-induced pertrochanteric femur fracture between July 2004 and March 2018, 100 patients diagnosed with isolated GT fractures using plain radiographs were retrospectively analyzed. Patients were divided into two groups, those with: i) isolated GT fractures (group A) and ii) occult intertrochanteric fractures (group B). In addition, plain radiographs, magnetic resonance imaging results, and treatment methods were further analyzed in each group. If surgery treatment was needed, it was performed by one surgeon, and in all cases, a 2-hole dynamic hip screw was used. Results: Among the 100 cases of isolated GT fractures diagnosed using plain radiograph, additional examinations revealed that 10 (10.0%) were suffering from isolated GT fractures alone, while the remaining 90 (90.0%) were further diagnosed with occult intertrochanteric fracture. Gender, age, mechanism of injury, and bone mineral density did not correlate with fracture type. Conclusion: In our analysis, 90% of injuries initially diagnosed as isolated GT fractures were found to extend into occult intertrochanteric fractures upon further examination with additional imaging modalities. Therefore, additional evaluation should be performed to test for the potential presence of occult intertrochanteric fractures and to establish appropriate treatment plans.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Milch H / 1939 / Avulsion fracture of the great trochanter / Arch Surg 38:334~350
Beloosesky Y / 2010 / Clinical characteristics and long-term mortality of occult hip fracture elderly patients / Injury 41:343~347
Kim KC / 2010 / Initially missed occult fractures of the proximal femur in elderly patients : implications for need of operation and their morbidity / Arch Orthop Trauma Surg 130:915~920
정필현 / 2016 / Occult Intertrochanteric Fracture Mimicking the Fracture of Greater Trochanter / Hip and Pelvis 28(2):112~119
Feldman F / 1994 / MR imaging : its role in detecting occult fractures / Skeletal Radiol 23:439~444
Beloosesky Y / 2010 / Clinical characteristics and long-term mortality of occult hip fracture elderly patients / Injury 41:343~347
Kim KC / 2010 / Initially missed occult fractures of the proximal femur in elderly patients : implications for need of operation and their morbidity / Arch Orthop Trauma Surg 130:915~920
정필현 / 2016 / Occult Intertrochanteric Fracture Mimicking the Fracture of Greater Trochanter / Hip and Pelvis 28(2):112~119
Feldman F / 1994 / MR imaging : its role in detecting occult fractures / Skeletal Radiol 23:439~444
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