Introduction: Osteochondroplasty of the anterior head-neck junction is often performed to treat femoro-acetabular impingement (FAI) on the assumption that the underlying deformity is inadequate anterior offset of the femoral head. However, other morphologic abnormalities, including reduced anteversion, posterior slip, and widening of the neck can all cause loss of joint motion. In this study we...

BACKGROUND Hip dislocation after arthroplasty for femoral neck fractures remains a serious complication. The aim of our study was to investigate the dislocation rate in acute femoral neck fracture patients operated with a posterior approach with cemented conventional or dual articulation acetabular components. METHODS We compared the dislocation rate in 56 consecutive patients operated with c...

OBJECTIVE To compare the clinical outcome of anterolateral minimally invasive approach versus conventional posterior approach for total hip replacement against femoral neck fractures in elderly patients. METHODS The retrospective study was carried out on 42 patients who suffered from displaced femoral neck fractures (19 cases of Garden type III, 23 cases of Garden type IV) treated by total hi...

OBJECTIVE To analyze the results of biomechanical assays of fixation of Pauwels type III femoral neck fracture in synthetic bone, using 7.5mm cannulated screws in inverted triangle formation, in relation to the control group. METHODS TEN SYNTHETIC BONES WERE USED, FROM A DOMESTIC BRAND, DIVIDED INTO TWO GROUPS: test and control. In the test group, a 70° tilt osteotomy of the femoral neck was ...

A 20-year-old female patient presented with swelling and pain in the neck, difficulty in opening her mouth, dyspnea, nausea, fever, and shivering. She was prescribed amoxicillin for one week due to a teeth infection and had lower molar tooth extraction on the same side two days before. Neck examination showed a swelling, 2 x 3 cm in size, in the carotid triangle and minimal hyperemia on the ski...

OBJECTIVE This study aimed to evaluate the expressions and clinical significance of bone Gla-protein (BGP), bone alkaline phosphatase (B-ALP) and C-terminal telopeptide of type I collagen (CTX) in patients with osteoporosis (OP), and to provide evidence for developing individualized treatment plans. METHODS Seventy-two OP patients in our hospital were selected as an OP group, and another 72 h...

Diagnosis of occult hip fractures by initial radiographs remains challenging in the emergency department. Previously, the gold standard for accurate diagnosis of occult hip fractures was magnetic resonance imaging. This study used initial radiographs obtained in the emergency department to evaluate specific signs and measurements as diagnostic references for occult femoral neck fractures in eld...

Myotonic dystrophy is the most common autosomal dominant myopathy in adults. Our patient, a 41 year-old female suffering from myotonic muscular dystrophy, developed upper thoracic myelopathy due to hypertrophy of the ligamentum flavum and the posterior longitudinal ligament. She had a typical hatchet face and ptosis with "head hanging forward" appearance caused by neck weakness. Motor weakness,...

INTRODUCTION Vertebral artery dissection has become increasingly recognized as an important cause of stroke. It usually presents with posterior headache or neck pain followed within hours or days by signs of posterior circulation stroke. To the best of our knowledge, the clinical presentation of a Brown-Séquard syndrome with a vertebral artery dissection has been reported only once before. CA...