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首页> 外文期刊>The New England journal of medicine >More on Atypical Fractures of the Femoral Diaphysis
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More on Atypical Fractures of the Femoral Diaphysis

机译：更多关于股骨干的非典型骨折

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to the editor: Our experience has been very similar to that described by Lenart et al. (March 20 issue)1 in their report on atypical fractures of the femoral diaphysis. These fractures have a distinctive pattern and most likely represent completion of a stress fracture (Fig. 1). In our series,2 64.3% of the patients had involvement of the con-tralateral femur. In addition, 76% of the patients had documented prodromal symptoms of thigh pain, vague discomfort, or subjective weakness; these symptoms were often dismissed or treated as symptoms of spinal stenosis. "Giving way" of the involved limb immediately preceded the fall in 23.1% of the patients.3 We suggest that any patient receiving bisphosphonates who has thigh pain should undergo radiographic examination of the femur, and patients with a documented fracture should undergo radiographic examination of the contralateral femur.
机译：致编辑：我们的经验与Lenart等人所描述的非常相似。 （3月20日发行）1在有关股骨干的非典型性骨折的报告中。这些裂缝具有独特的模式，最有可能代表应力裂缝的完成（图1）。在我们的系列中，2 64.3％的患者累及对侧股骨。此外，有76％的患者有大腿疼痛，模棱两可的不适或主观虚弱的前驱症状。这些症状通常被消除或视为椎管狭窄的症状。在患病的患者中，有23.1％的患者在跌倒之前就发生了“四肢屈曲”。3我们建议，任何接受过双膦酸盐治疗并伴有大腿疼痛的患者均应接受X线检查，股骨骨折的患者应接受X线检查。对侧股骨。

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