This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Motomura, G.
Right arrow Articles by Iwamoto, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Motomura, G.
Right arrow Articles by Iwamoto, Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 84:1205-1209 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Subchondral Insufficiency Fracture of the Femoral Head and Acetabulum

A Case Report

Goro Motomura, MD, Takuaki Yamamoto, MD, PhD, Keita Miyanishi, MD, PhD, Kenzo Shirasawa, MD, Yasuo Noguchi, MD, PhD and Yukihide Iwamoto, MD, PhD

Investigation performed at the Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

Goro Motomura, MD
Takuaki Yamamoto, MD, PhD
Keita Miyanishi, MD, PhD
Yasuo Noguchi, MD, PhD
Yukihide Iwamoto, MD, PhD
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. E-mail address for T. Yamamoto: yamataku@ortho.med.kyushu-u.ac.jp

Kenzo Shirasawa, MD
Department of Orthopaedic Surgery, Shimonoseki City Hospital, 1-13-1 Koyo-cho, Shimonoseki 750-8520, Japan

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Subchondral insufficiency fracture of the femoral head generally occurs in elderly patients, who tend to have osteopenic bone and/or to be overweight. It characteristically presents as acute pain in the hip without obvious antecedent trauma 1 .

Some subchondral insufficiency fractures of the femoral head resolve spontaneously 2,3 , but several have shown progressive collapse requiring surgical intervention 1 . Findings on magnetic resonance imaging are characterized by a subchondral linear or serpiginous pattern of very low signal intensity on T1-weighted images with an associated bone-marrow edema pattern. This subchondral low-intensity band has been shown histologically to be a fracture line 4 .

In a recent study, eleven subchondral insufficiency fractures of the femoral head were associated with rapid destruction of the hip joint similar to that seen in rapidly destructive arthrosis of the hip joint 5 . The prognosis for subchondral insufficiency fractures of the femoral head thus remains unclear.

Previous investigators have examined . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
H. Ito, T. Matsuno, and A. Minami
Relationship between bone marrow edema and development of symptoms in patients with osteonecrosis of the femoral head.
Am. J. Roentgenol., June 1, 2006; 186(6): 1761 - 1770.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
K.-C. Huang, W.-H. Hsu, K.-F. Lee, and R. W.-W. Hsu
Subchondral insufficiency fracture with rapid collapse of the femoral head in a patient with Turner's syndrome
Rheumatology, June 1, 2005; 44(6): 826 - 827.
[Full Text] [PDF]

Home page
 JBJSHome page
W. S. Song, J. J. Yoo, K.-H. Koo, K. S. Yoon, Y.-M. Kim, and H. J. Kim
Subchondral Fatigue Fracture of the Femoral Head in Military Recruits
J. Bone Joint Surg. Am., September 1, 2004; 86(9): 1917 - 1924.
[Abstract] [Full Text] [PDF]