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Although osteoporotic insufficiency fracture is considered a contraindication for IPS surgery, a formal risk factor analysis for this complication has not previously been reported.
Open image in new window Fig. 12 Subcapital insufficiency fracture of the right femur in a 77-year-old woman with stage IIIB non-small cell lung cancer.
The patient developed extensive radiation pneumonitis, which was treated with high-dose glucocorticoids for 1 year, probably causing a greater rate of bone loss with subsequent insufficiency fracture.
The use of the term "stress fracture" relieves the radiologist from committing himself to a more specific diagnosis of a fatigue or an insufficiency fracture.
The diagnosis of insufficiency fracture was again based on fracture site as per radiological report and history of a low-energy fracture.
An AP radiograph of the pelvis (a) shows subtle subchondral flattening of the femoral head suspicious for a stress (insufficiency) fracture (see arrow).
Similar(36)
Significant mortality and morbidity are associated with pelvic insufficiency fractures.
The incidence of osteoporotic and insufficiency fractures of the pelvic ring is increasing.
Sacral insufficiency fractures and metastases are a source of severe intractable pain, with limited therapeutic options.
Sacral insufficiency fractures (SIFs) can cause low back pain in osteoporotic patients.
These newer techniques hold the promise of more accurate diagnosis of osteoporosis and those at risk for vertebral insufficiency fractures before they occur.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com