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Ipsilateral femoral neck and shaft fractures. When do we need further image screening of the hip?
Marins, Murilo Humberto Tobias; Pallone, Lucas Valerio; Vaz, Breno Alves de Souza; Ferreira, Aline Miranda; Nogueira-Barbosa, Marcello Henrique; Salim, Rodrigo; Fogagnolo, Fabricio.
Afiliação
  • Marins MHT; Department of Orthopaedics and Anaesthesiology, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Pallone LV; Department of Orthopaedics and Anaesthesiology, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Vaz BAS; Department of Orthopaedics and Anaesthesiology, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Ferreira AM; Rehabilitation Center of Clinics Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Nogueira-Barbosa MH; Department of Medical Imaging, Hematology and Clinical Oncology, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Salim R; Department of Orthopaedics and Anaesthesiology, University of São Paulo, Ribeirão Preto (SP), Brazil.
  • Fogagnolo F; Department of Orthopaedics and Anaesthesiology, University of São Paulo, Ribeirão Preto (SP), Brazil. Electronic address: ffogagnolo@fmrp.usp.br.
Injury ; 52 Suppl 3: S65-S69, 2021 Jul.
Article em En | MEDLINE | ID: mdl-34083022
OBJECTIVE: The objective of the present study was to identify patterns of femoral diaphyseal fractures which are associated with fractures of the ipsilateral femoral neck according to the AO classification. We propose an algorithm of investigation based on plain radiographs, recognizing cases that need additional screening with computed tomography. PATIENTS AND METHODS: This observational retrospective study included patients with combined diaphyseal and femoral neck fractures. These patients were retrieved from a total of 1398 patients with the diagnoses of diaphyseal fractures of the femur, who were admitted to our hospital for surgical treatment between January 2009 and October 2019. All included cases had both fractures analyzed for their geometry and were classified according to the AO Classification, seeking to find a correlation between the types of fractures. RESULTS: Sixteen diaphyseal fractures associated with ipsilateral neck fractures were detected during the period. The distribution of the diaphyseal fractures according to the AO Classification was as follows: 5 of type A3 (31,2%) 6 type B2 (37.5%), 1 type B3 (6,2%), 2 type C2 (12,5%) and 2 type C3 (12,5%). One A2 femoral fracture occurred during the surgical procedure. No type A1 fractures were detected. CONCLUSION: The patterns of high-energy diaphyseal fractures (A3, B and C) have a higher prevalence of associated ipsilateral neck fractures. Our study suggests that routine additional methods of image investigation of femoral neck fractures may be unnecessary for diaphyseal fractures type A1 and A2.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Fêmur / Fraturas do Colo Femoral Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Limite: Humans Idioma: En Revista: Injury Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Fêmur / Fraturas do Colo Femoral Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Limite: Humans Idioma: En Revista: Injury Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda