WordNet

interrupt, break, or destroy; "fracture the balance of power"
breaking of hard tissue such as bone; "it was a nasty fracture"; "the break seems to have been caused by a fall" (同)break
fracture a bone of; "I broke my foot while playing hockey" (同)break
become fractured; "The tibia fractured from the blow of the iron pipe"
break (a bone); "She broke her clavicle"
break into pieces; "The pothole fractured a bolt on the axle"
violate or abuse; "This writer really fractures the language"
the act of cracking something (同)crack, cracking
the longest and thickest bone of the human skeleton; extends from the pelvis to the knee (同)thighbone, femoris

PrepTutorEJDIC

〈U〉(特に)骨を折ること;骨を折った状熊 / 〈C〉割れ(裂け)目,(鉱物の)破砕面 / 〈足・腕などを〉‘を'骨折する;…‘を'砕く / 骨折する;砕ける
大腿骨(だいたいこつ)(thighbone)
female / feminine

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/08 15:37:38」(JST)

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A femoral fracture is a bone fracture that involves the femur.

Femoral shaft fractures

Femoral shaft fractures can be classified with the Winquist and Hansen classification, which is based on the amount of comminution:^[1]

Distal femur fractures

Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on the posterior surface of the bone. This fracture compromises the blood supply to the leg (an occurrence that should always be considered in knee fractures or dislocations).^[2]

Treatment

Treatment depends on the part of the femur that is fractured. Traction may be useful for femoral shaft fractures because it counteracts the force of the muscle pulling the two separated parts together, and thus may decrease bleeding and pain.^[3] Traction should not be used in femoral neck fractures or when there is any other trauma to the leg or pelvis.^[4]^[5]

References

^ Page 612 in: Title Surgical treatment of orthopaedic trauma. Authors: James P. Stannard, Andrew H. Schmidt, Philip J. Kregor. Publisher: Thieme, 2007. ISBN 1-58890-307-9, ISBN 978-1-58890-307-5
^ Keith L. Moore, Arthur F. Dalley, Anne M.R. Agur. p527 of Clinical Oriented Anatomy 7th edition ISBN 978-1-4511-8447-1
^ Tintinalli, Judith E. (2010). Emergency Medicine: A Comprehensive Study Guide (Emergency Medicine (Tintinalli)). New York: McGraw-Hill Companies. p. 9. ISBN 0-07-148480-9.
^ AAOS. "29". In Andrew N. Pollak MD. FAAOS. Emergency Care and Transport of the Sick and Injured (Print) (10 ed.). Sudbury, Massachusetts: Jones and Bartlett. pp. 1025–1031. ISBN 978-1-4496-3056-0. |accessdate= requires |url= (help)
^ Marx, John A. (2014). Rosen's emergency medicine : concepts and clinical practice (Eighth edition. ed.). London: Elsevier Health Sciences. p. 680. ISBN 9781455749874.

UpToDate Contents

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1. 成人における大腿骨骨幹部骨折 midshaft femur fractures in adults
2. 小児における大腿骨遠位部骨折 distal femoral fractures in children
3. 小児における大腿骨骨幹部骨折 femoral shaft fractures in children
4. 成人における股関節骨折 hip fractures in adults
5. 成人における急性膝痛の放射線評価 radiologic evaluation of the acutely painful knee in adults

English Journal

Improving stability of locking compression plates through a design modification: a computational investigation.

Anitha D1, Das De S, Sun KK, Doshi HK, Lee T.
Computer methods in biomechanics and biomedical engineering.Comput Methods Biomech Biomed Engin.2015 Feb;18(2):153-61. doi: 10.1080/10255842.2013.785536. Epub 2013 Apr 14.
Femoral shaft fractures are common in both the young and elderly due to high-impact trauma and low-impact trauma, respectively. Its treatment by indirect reduction through use of locking compression plates (LCPs) has been on the rise. The LCP possess several advantages in fracture fixation, combinin
PMID 23582021

Surgical procedures and experimental outcomes of closed fractures in rodent models.

Drissi H1, Paglia DN.
Methods in molecular biology (Clifton, N.J.).Methods Mol Biol.2015;1226:193-211. doi: 10.1007/978-1-4939-1619-1_15.
The closed fracture rat model, first described by Bonnarens and Einhorn, has been widely implemented in recent years to characterize various fracture phenotypes and evaluate treatment modalities. Slight modifications in the fixation depth, to reduce surgical error associated with movement/dislocatio
PMID 25331052

Osteoporosis presenting in pregnancy, puerperium, and lactation.

Kovacs CS.
Current opinion in endocrinology, diabetes, and obesity.Curr Opin Endocrinol Diabetes Obes.2014 Dec;21(6):468-75. doi: 10.1097/MED.0000000000000102.
PURPOSE OF REVIEW: To describe our current state of knowledge about the pathophysiology, incidence, and treatment of osteoporosis that presents during pregnancy, puerperium, and lactation.RECENT FINDINGS: When vertebral fractures occur in pregnant or lactating women, it is usually unknown whether th
PMID 25191853

Japanese Journal

悪性リンパ腫浸潤による病的大腿骨転子下骨折の1例

酒見勇太,野村裕,中野壮一郎,田中孝幸,栁澤義和,増田圭吾,高野祐護,有馬準一
整形外科と災害外科 64(2), 332-335, 2015
【はじめに】悪性リンパ腫浸潤による病的大腿骨転子下骨折の1例を経験したので報告する．【症例】73歳女性．3ヶ月前より誘因なく右大腿部痛が出現し，1ヶ月前に前医にて右鼡径部リンパ節腫大を指摘された．タクシーを降りた際より右大腿部痛にて歩行困難なり，当科入院となった．レントゲン像にて大腿骨転子下骨折および骨幹部後壁の皮質骨の透亮像を認め，悪性リンパ腫浸潤による病的骨折が疑われた．入院後3日目に髄内釘を …
NAID 130005071289

大腿骨顆上骨折後の下肢不良アライメント症例に対するナビゲーション併用人工膝関節置換術の検討

川添泰臣,恒吉康弘,小宮節郎
整形外科と災害外科 64(2), 230-232, 2015
大腿骨顆上骨折後の下肢不良アライメントに対し，イメージフリーナビゲーションを併用した人工膝関節置換術（以下TKA）について報告する．症例は81歳女性．左大腿骨顆上骨折に対し，骨折観血的手術を施行した．左膝痛，下肢アライメント不良が残存し，FTA 200°日本整形外科学会変形性膝関節症治療成績判定基準（以下JOA score）70/50，変形性膝関節症患者機能評価尺度（以下J KOM）58点，Vis …
NAID 130005071260

サッカーで発症した小児大腿骨小転子裂離骨折の1例

熊野貴史,藤原明,花田弘文,山口史彦,塩川晃章,原道也
整形外科と災害外科 64(1), 187-189, 2015
比較的稀な小児大転子裂離骨折の1例を経験したので報告する．症例は12歳，男性．サッカーボールを蹴った際，突然強い左股関節痛が出現し歩行困難となり，受傷より2日目に当院クリニックを受診した．左スカルパ三角に強い圧痛を認め，左股関節は疼痛による可動域制限を認めた．単純X線画像にて左大腿骨小転子は骨端線が離開し，中枢側への転位を認めた．左大腿骨小転子裂離骨折の診断にて保存的加療を開始した．治療は，手術や …
NAID 130005071250