Hip Stress Fracture
A hip stress fracture is one or more tiny cracks in the hip bone. This type of fracture happens because of repeated stress on the hip bone. Stress fractures are often caused by increasing your level of physical activity too quickly.
Most hip stress fractures happen in the femoral neck. The femoral neck is the area of the upper leg bone (femur) that connects the ball of the femur to the rest of the femur. The ball of the femur fits into the socket of the pelvis to form the hip joint. Stress fractures may happen on the bottom side of the femoral neck (compression fractures) or on the top side of the femoral neck (tension fractures). In some cases, a hip stress fracture may get worse over time and may cause a complete
…show more content…
break in the hip bone. CAUSES This condition is caused by repeated stress and impact that weakens the hip bone over time. RISK FACTORS This condition is more likely to develop in: • Women, especially women who have any of the following conditions: ○ An eating disorder.
○ Amenorrhea caused by overtraining. This is the stopping of menstrual flow for 3–6 months in a woman who previously had periods.
○ Osteoporosis. This is thinning and loss of density in the bones.
• People who are involved in intense physical training.
• People who often do athletic activities on hard surfaces, such as dancers or runners.
SYMPTOMS
The most common symptom of this condition is deep, aching pain in the front of the groin. The pain often gets worse with activity, and it may go away when you rest. Pain may get worse over time. Other symptoms of a hip stress fracture may include:
• Stiffness of the hip.
• Limping.
• Pain in the hip or thigh.
• Inability to put any weight on the leg without pain.
DIAGNOSIS
This condition is diagnosed based on a physical exam and your medical history. During your physical exam, your health care provider will check your hip joint for pain and loss of motion. You may also have tests, including:
• X-rays.
• CT scan.
• MRI.
• Bone scans.
TREATMENT
Treatment for this condition depends on the severity and location of your fracture. Treatment may include:
• Using crutches until your health care provider says that you can put weight on your
hip. • Medicines that help reduce pain and swelling, such as NSAIDs. • Performing X-rays to make sure that your fracture is not getting worse. • Physical therapy. • Surgery to repair the fracture (open reduction). This may be necessary if: ○ You have a tension fracture. ○ Other treatment methods are ineffective. ○ Your stress fracture gets worse. HOME CARE INSTRUCTIONS Activities • Rest your injured hip for as long as told by your health care provider. • Return to your normal activities as told by your health care provider. Ask your health care provider what activities are safe for you. • Avoid any activities that cause pain or irritation in your hip. • If physical therapy was prescribed, do exercises as told by your health care provider. Safety • Do not use your injured leg to support your body weight until your health care provider says that you can. • If you were given crutches, use them as told by your health care provider. General Instructions • Take over-the-counter and prescription medicines only as told by your health care provider. • Do not use any tobacco products, including cigarettes, chewing tobacco, or e-cigarettes. Tobacco can delay bone healing. If you need help quitting, ask your health care provider. • If directed, apply ice to the injured area: ○ Put ice in a plastic bag. ○ Place a towel between your skin and the bag. ○ Leave the ice on for 20 minutes, 2–3 times per day. • Keep all follow-up visits as told by your health care provider. This is important. PREVENTION • Warm up and stretch before being active. • Cool down and stretch after being active. • Always begin new exercises or training gradually. • Give your body time to rest between periods of activity. • Make sure to use equipment that fits you. Wear athletic shoes that have enough support and padding. • Avoid activities that put stress on your hip, such as repetitive movements. • If you have an underlying condition that caused your hip stress fracture, work with your health care provider to manage your condition. • Make sure you get enough calcium and vitamin D. SEEK MEDICAL CARE IF: • Your pain gets worse or does not get better with treatment. SEEK IMMEDIATE MEDICAL CARE IF: • Your pain suddenly gets worse. • You are unable to move your hip. ExitCare® Patient Information ©2012 ExitCare, LLC.
What is meant by a “complete, comminuted, intertrochanteric fracture of the right hip”? A complete, means that the bone is broken completely through a communication means that the bone has been broken into many pieces and a intertrochanteric means that it involves the greater and lesser trochanter of the femur bone.
Intra articular fractures of calcaneus occurs following eccentric loading of the talus on the calcaneus.(fig 5.1) The severity, type and location of fracture are determined by the position of the foot, the direction and magnitude of applied force and quality of bone 49.
Hemothorax. Retrieved from http://emedicine.medscape.com/article/2047916-overview#aw2aab6b2b4 Norvell, J. G. (2013, June 11). Tibia and Fibula Fracture Clinical Presentation. Retrieved from http://emedicine.medscape.com/article/826304-clinical Queensland Government.
If the osteosarcoma progresses, the bone may weaken to such an extent that a fracture may occur, however the extremity of a fracture will only occur in the later stages of the osteosarcoma.
Kyphoplasty- procedure where a balloon is inserted into the vertebrae and covered by cement, it elevates the fracture.
An ankle fracture is a break in one or more of the three bones that make up the ankle joint. The ankle joint is made up by the lower (distal) sections of your lower leg bones (tibia and fibula) along with a bone in your foot (talus). Depending on how bad the break is and if more than one ankle joint bone is broken, a cast or splint is used to protect and keep your injured bone from moving while it heals. Sometimes, surgery is required to help the fracture heal properly.
Osteoporosis is a disease in which the bones become so weak and brittle that even a cough can cause enough stress on the bone that it will cause the bone to facture. The most commonly broken bones are the hip, wrist, and the spine. Although it affects men and women of all races, post-menopausal Caucasian and Asian women are more commonly affected than those of other ethnicities and sexes. In fact, thirty percent of all post-menopausal women in the US and Europe will be diagnosed with Osteoporosis and at least 40 percent of those will suffer from a fracture in their lifetime.
In the United States, there are two kinds of physicians that practice medicine. The Osteopathic medicine is practiced by the Doctor of Osteopathy (D.O.) while Allopathic medicine is practiced by the Doctor of Medicine (M.D.). Due to more physicians hold the degree of MD than the DO's degree, few people recognize Osteopathic Physicians.
Trauma nursing is a rewarding career that is financially beneficial, allows you to work in high intensity situations, and is appropriate for people with a personality where they have the ability to remain calm in high stress situations. In trauma nursing a beginner is already making quite a bit of money while being able to do things such as saving people’s lives. It’s a job that involves working in situations where it depends on a person and their team to save a person and it’s important to be to stay calm and respond adequately to the situation. Trauma nursing is an eye-opening career that, if you can handle it, will really enjoy.
This Preusser (2008) case study involves a 75 year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular fracture of the hip at the femoral neck (p. 183). Assessment data includes her height is 5’3”, weight is 118 lbs, blood pressure...
Fibular fractures may be complete or incomplete fractures. Fibula fractures may occur anywhere along the bone. The fracture we are trying to fixate is a complete fracture. Fractures occur when a force is placed on the bone that is greater than it can withstand, and when a fracture does occur in the fibula, it’s usually at the same time as the tibia. When only the fibula fractures, it is usually because of a direct blow to the side of the leg or an extreme sideways bend at the ankle or knee. Some other common causes of fibular fracture include, direct hit from doing contact sports such as hockey or lacrosse, stress fracture; weakening of the bone from repeated stress, or indirect injury, caused by twisting, turning quickly, or violent muscle contraction. Tripping, falling or impact during an accident are also major causes of fibular
Pain: stress can cause pain because the body stimulates the muscles while fighting the stressor. Stress also causes migraines which can last for several days.
A doctor will take your medical history and perform an examination of the back, hips, and legs to test for strength, flexibility, sensation, and reflexes. Other tests may include:
When new bone is not being readily produced or the body is reabsorbing too much old bone causes osteoporosis. During this time bone remodeling is not occurring when the bone becomes damaged. Lack of bone remodeling causes the bone to continue to breakdown. This breakdown may cause stress and fractures.
One must watch out for signs like depression, lack of sleep, and compulsive disorders that may be signs of an overload of stress on the body. Spotting these damages can be fairly easy as they come with many signs that are caused by stress. Physically the body can give off many signs which can be associated to other health issues so one may not notice associate these signs directly to stress. Some of the physical signs caused by stress are dizziness, sweaty palms, lack of sexual desire, weight gain or loss, difficulty sleeping, headaches and indigestion just to name a few