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https://www.readbyqxmd.com/read/27517074/subchondral-insufficiency-fracture-of-the-femoral-head-treated-with-core-decompression-and-bone-void-filler-support
#1
Hiren Patel, Atul F Kamath
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a 48-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA...
June 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/24753710/subchondral-insufficiency-fracture-of-the-femoral-head-in-elderly-people
#2
Pil Whan Yoon, Hong Suk Kwak, Jeong Joon Yoo, Kang Sup Yoon, Hee Joong Kim
We evaluated the clinical course of subchondral insufficiency fracture of the femoral head (SIFFH) and its characteristic findings with special regard to joint space narrowing (JSN). Thirty-one cases of SIFFH of mean age 68.9 yr initially underwent limited weight-bearing conservative treatment. During the follow-up period, the patients with intractable pain underwent total hip arthroplasty (THA). For radiographic evaluation, lateral center-edge angle, JSN and femoral head collapse (FHC) were documented, and the extent of FHC was classified as mild (<2 mm), moderate (2-4 mm), and severe (>4 mm)...
April 2014: Journal of Korean Medical Science
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