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Clinical Orthopaedics and Related Research®

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01.05.2010 | Clinical Research

Subchondral Insufficiency Fracture of the Femoral Head may be Associated with Hip Dysplasia: A Pilot Study

verfasst von: Kohei Ishihara, MD, Keita Miyanishi, MD PhD, Hidetoshi Ihara, MD, Seiya Jingushi, MD PhD, Takehiko Torisu, MD PhD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 5/2010

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Abstract

Background

Subchondral insufficiency fracture of the femoral head occurs mainly in elderly patients with osteoporosis. Spontaneous resolution is observed after nonoperative treatment in some patients whereas other show progressive joint destruction requiring THA. Several studies report the occurrence of subchondral insufficiency fracture of the femoral head in dysplastic hips.

Questions/purposes

We asked whether the extent of hip dysplasia or osteoporosis was greater in patients with subchondral insufficiency fracture of the femoral head than in normal control subjects.

Patients and Methods

We compared the clinical and imaging findings of 13 patients with subchondral insufficiency fractures of the femoral head and 12 patients scheduled for TKA with asymptomatic hips. Age, gender, and body mass index were comparable in the two groups.

Results

Higher mean Sharp angles, lower acetabular head indices, lower center-edge angles, and higher acetabular roof angles in patients with subchondral insufficiency fracture of the femoral head than in those with asymptomatic hips suggested a greater degree of hip dysplasia. Bone mineral density and serum levels of Type I collagen cross-linked N-telopeptide and bone alkaline phosphatase were similar in the two groups.

Conclusions

We speculate an excessive amount of stress on the acetabular edge from dysplasia may be associated with the occurrence of subchondral insufficiency fracture of the femoral head.

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Titel: Subchondral Insufficiency Fracture of the Femoral Head may be Associated with Hip Dysplasia: A Pilot Study
verfasst von: Kohei Ishihara, MD
Keita Miyanishi, MD PhD
Hidetoshi Ihara, MD
Seiya Jingushi, MD PhD
Takehiko Torisu, MD PhD
Publikationsdatum: 01.05.2010
Verlag: Springer-Verlag
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 5/2010
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-009-1213-z

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Abstract

Background

Questions/purposes

Patients and Methods

Results

Conclusions

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