Concomitant ligamentous and meniscal knee injuries in femoral shaft fracture

Meybodi, Mohammad Kazem Emami; Ladani, Morteza Jannesari; Meybodi, Tohid Emami; Rahimnia, Alireza; Dorostegan, Ahmad; Abrisham, Seyed Mohammad Jalil; Yarbeygi, Habib

doi:10.1007/s10195-013-0255-x

Cited by 13 publications

(19 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have documented ligamentous knee damage in conjunction with femoral fractures. [23,24] Our patient group consisted of patients with femoral shaft fractures after high energy trauma. Only two of our patients had an oblique fracture.…”

Section: Discussionmentioning

confidence: 99%

Ipsilateral hip pain and femoral shaft fractures; is there any relationship?

Özmanevra

Demirkıran

Hapa

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: High-energy traumas are common occurrences worldwide. The rate of overlooked neck fractures in polytrauma cases is also high. Previous studies have shown that articular hip pathologies, particularly neck fractures, are associated with fractures of the femoral shaft. This study sets out to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. Thus, the present study aims to investigate the relationship between ipsilateral hip pain and femoral shaft fractures. METHODS: Patients who were diagnosed with a fracture of the femur shaft and who were operated on (intramedullary fixation or plate) were included in this study. Patients with pathologic fractures, femoral neck fractures, femoral intertrochanteric fractures, or pelvic fractures were excluded. Patients with at least six months of follow-up and who were capable of independent walking without support were grouped according to AO/OTA fracture classification. Patients were questioned for deep anterior groin pain, and physical examination tests and hip imaging (X-ray and MR arthrography) were performed by calling patients with the indicated complaints. RESULTS: The presence of labral tears were noted in two patients. The incidence of osseous bump of the femoral neck identified by MR arthrography (MRA) was found in three of 16 hips. Assessment of the presence of gluteal tendinosis or tear and herniation pit identified three of 16 hips. The presence of osteophytes was noted in one patient. MRA identified three of 16 hips with more than one type of intra-articular pathology. Two patients with an osseous bump of the femoral neck were also diagnosed with additional hip pathology as herniation pit. CONCLUSION: Anterior groin pain in patients with a history of femoral shaft fracture is not always related to implants. Orthopedic surgeons should become suspicious in cases of intra-articular hip pathology in patients who have persistent hip pain after severe lower extremity trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

Ipsilateral hip pain and femoral shaft fractures; is there any relationship?

Özmanevra

Demirkıran

Hapa

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…A similar occurrence has also been recognized in the knee, where several studies have documented ligamentous knee damage in conjunction with femoral fracture. 8,9 A consideration for intra-articular hip pathology was recommended several years ago by Watson el al 10 in their report of a patient with residual pain following a fixated femoral shaft fracture. That patient was also found to have an acetabular labral tear.…”

Section: Discussionmentioning

confidence: 99%

Hip Pain After a Femoral Fracture: It Is Not Always Related to the Implant

White¹,

Hawkes²,

Herzog³

2016

Orthopedics

View full text Add to dashboard Cite

The source of continued hip pain following fixation of traumatic femoral shaft fracture is not always clear. Intra-articular hip pathology is often overlooked when evaluating the etiology of residual pain. The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. This was a retrospective case series of patients presenting to a private practice orthopedic clinic from 2012 to 2015. Three patients presented with symptomatic intra-articular hip pathology following traumatic ipsilateral femoral shaft fracture. Patients who underwent hip arthroscopy with allograft labral reconstruction were identified retrospectively. Validated, subjective outcome scores administered included the Modified Harris Hip Score (MHHS), Lower Extremity Functional Scale (LEFS), visual analog scale (VAS) for pain, and VAS scale for patient satisfaction. Three patients were identified with residual, disabling groin pain after femoral shaft fracture fixation following a traumatic motor vehicle accident. All 3 patients were found to have a symptomatic ipsilateral labral tear. In 2 of the patients, an indentation on the lateral femoral head was appreciated, which was hypothesized to be caused by a subluxation event. All 3 patients were treated with arthroscopic hip surgery. At final follow-up, all 3 patients showed significant improvement in MHHS, VAS pain scores, level of satisfaction, and LEFS. Residual pain following ipsilateral femoral shaft fracture is not always related to implant. Intra-articular hip pathology should be considered in patients with lingering hip pain. [Orthopedics. 2016; 39(6):e1080-e1084.].

show abstract

“…Concomitant knee injury is a common finding in femoral factures but can be easily missed during early management of initial trauma. Degree of damage to articular structures varies considerably, from only a mild effusion to complete ligament and meniscal tears [4] . Knee ligament injuries, historically called as the internal derangements of knee (IDK) are mostly not visible in plain radiographs taken in emergency and in good number of cases, these injuries are likely to be overlooked or entirely missed [5] .…”

Section: Introductionmentioning

confidence: 99%