Simultaneous bilateral neck femur fracture is a rare entity that has been associated with underlying bone disease, various metabolic diseases, high-energy trauma, and seizure disorders. Its occurrence following minimal trauma is very rare. This article presents the case of a 66-year-old female who sustained bilateral intracapsular fracture neck femur following a slip and fall at home. Single-st...

The prolongation of the average life span of women has been associated with the rapidly aging society. However, serious problem have arisen as a result, such as an increase in the number of bed-ridden elderly patients with osteoporosis-associated femoral neck fracture. As preventive measures against osteoporosis for middle-aged to elderly women, 10,000 steps per day and intense exercise have be...

INTRODUCTION In contrast to a plethora of studies on the proximal femur in adults, its external and internal morphology in growing children has not been sufficiently analyzed. OBJECTIVE We analyzed changes in external and internal morphology of the proximal femur during growth and development to interpret the links between them and concepts of the human femoral biomechanics. METHODS We asse...

INTRODUCTION Although fracture diaphyseal femur is commonly seen in orthopedic practice, its association with ipsilateral resection arthroplasty of hip/pseudarthrosis of neck is rare. The technique of excision arthroplasty has undergone modification with emphasis on preserving as much bone as possible. However, it is not always possible to preserve bone while removing the earlier prosthesis and...

Hip structure analysis (HSA) and advanced hip assessment (AHA) can be used to evaluate proximal femur geometry based on dual energy X-ray absorptiometry scans of the hip. The purpose of this review was to reveal the effects of 1-year risedronate therapy on proximal femur bone mineral density (BMD) and geometry in Japanese patients with an increased risk for fractures. The relevant literature wa...

BACKGROUND Questions regarding the distribution of stress in the proximal human femur have never been adequately resolved. Traditionally, by considering the femur in isolation, it has been believed that the effect of body weight on the projecting neck and head places the superior aspect of the neck in tension. A minority view has proposed that this region is in compression because of muscular f...

The Birmingham Mid Head Resection (BMHR) arthroplasty can be used as an alternative to conventional stemmed total hip arthroplasty in young patients unsuitable for hip resurfacing. This study investigated the effect of stem size on femoral neck fracture in the BMHR. Sawbones composite femurs were randomly allocated to one of the following groups: 1) Unprepared femur with no prosthesis; 2) Femur...

I work is a busy trauma ward. A high percentage of people admitted have sustained a fractured neck of femur following a fall either at home or in the street. Every patient admitted has his or her own individual risks and reasons for why he or she fell.

Extensive osseous adaptations of the lumbar spine, pelvis, hip and femur characterize the emergence of the human bipedal gait with its 'double extension' of the lumbar spine and hip. To accommodate lumbar lordosis, the pelvis was 'compacted', becoming wider and shorter, as compared with the non-human apes. The hip joint acquired a much more extended position, which can be seen in a broader evol...