pathologic fracture

病的骨折

関

pathological fracture、spontaneous fracture

WordNet

1. interrupt, break, or destroy; "fracture the balance of power"
2. breaking of hard tissue such as bone; "it was a nasty fracture"; "the break seems to have been caused by a fall" (同)break
3. fracture a bone of; "I broke my foot while playing hockey" (同)break
4. become fractured; "The tibia fractured from the blow of the iron pipe"
5. break (a bone); "She broke her clavicle"
6. break into pieces; "The pothole fractured a bolt on the axle"
7. violate or abuse; "This writer really fractures the language"
8. the act of cracking something (同)crack, cracking

PrepTutorEJDIC

1. 〈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

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/04/05 20:41:53」(JST)

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[Wiki en表示]

Pathologic fracture
Pathological fracture of the humerus in a patient with metastasis of renal cell carcinoma
Classification and external resources
ICD-10	M80
ICD-9-CM	733.1

A pathologic fracture (also called insufficiency fracture) is a bone fracture caused by disease that led to weakness of the bone structure. This process is most commonly due to osteoporosis, but may also be due to other pathologies such as: cancer, infection (such as osteomyelitis), inherited bone disorders, or a bone cyst. Only a small number of conditions are commonly responsible for pathological fractures, including osteoporosis, osteomalacia, Paget's disease, osteitis, osteogenesis imperfecta, benign bone tumours and cysts, secondary malignant bone tumours and primary malignant bone tumours.

Fragility fracture is a type of pathologic fracture that occurs as result of an injury that would be insufficient to cause fracture in a normal bone. There are three fracture sites said to be typical of fragility fractures: vertebral fractures, fractures of the neck of the femur, and Colles fracture of the wrist. This definition arises because a normal human being ought to be able to fall from standing height without breaking any bones, and a fracture therefore suggests weakness of the skeleton.

Pathological fractures present as a chalkstick fracture in long bones, and appear as a transverse fractures nearly 90 degrees to the long axis of the bone. In a pathological compression fracture of a spinal vertebra fractures will commonly appear to collapse the entire body of vertebra.

Cause

Pathologic fractures in children and adolescents can result from a diverse array of disorders namely; metabolic, endocrine, neoplastic, infectious, immunologic, and genetic skeletal dysplasias.

Juvenile osteoporosis

• Osteogenesis imperfecta
• Primary hyperparathyroidism
• Simple bone cyst
• Aneurismal bone cyst
• Disuse osteoporosis
• Chronic osteomyelitis
• Osteogenesis imperfecta
• Rickets
• Renal osteodystrophy
• Malignant infantile osteopetrosis
• juvenile osteoporosis
• juvenile rheumatoid arthritis

Miscellaneous causes

• Monostotic fibrous dysplasia
• Eosinophilic granuloma
• Bone atrophy secondary to diseases like polio

Diagnosis

In circumstances where other pathologies are excluded (for example, cancer), a pathologic fracture is diagnostic of osteoporosis irrespective of bone mineral density.

UpToDate Contents

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• 1. 骨転移、多発性骨髄腫、およびリンパ腫における完全および切迫病的骨折の評価およびマネージメント evaluation and management of complete and impending pathologic fractures in patients with metastatic bone disease multiple myeloma and lymphoma
• 2. 骨折のマネージメントの一般原則：小児における骨折のパターンおよび種類 general principles of fracture management fracture patterns and description in children
• 3. ストレス骨折の概要 overview of stress fractures
• 4. 骨転移を有する成人患者の疫学、臨床所見、診断、およびマネージメントの概要 overview of the epidemiology clinical presentation diagnosis and management of adult patients with bone metastasis
• 5. Evaluation of acute traumatic shoulder injury in children and adolescents

English Journal

• Therapeutic approaches for protecting bone health in patients with breast cancer.

• Lüftner D1, Niepel D2, Steger GG3.
• Breast (Edinburgh, Scotland).Breast.2018 Feb;37:28-35. doi: 10.1016/j.breast.2017.10.007. Epub 2017 Oct 23.
• PMID 29073497

• Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis.

• Chang G1, Ilyas AM2.
• Hand clinics.Hand Clin.2018 Feb;34(1):105-112. doi: 10.1016/j.hcl.2017.09.011.
• PMID 29169591

• Closed Versus Open Supracondylar Fractures of the Humerus in Children: A Comparison of Clinical and Radiographic Presentation and Results.

• Lewine E1, Kim JM, Miller PE, Waters PM, Mahan ST, Snyder B, Hedequist D, Bae DS.
• Journal of pediatric orthopedics.J Pediatr Orthop.2018 Feb;38(2):77-81. doi: 10.1097/BPO.0000000000000769.
• PMID 27100041

Japanese Journal

• 骨転移患者のリハビリテーション

• 保健医療学雑誌 6(1), 24-35, 2015
• NAID 130005064629

• Dandy-Walker variantの患児に歯の形成不全症の合併が疑われた1例

• 小児歯科学雑誌 52(3), 440-447, 2014
• NAID 130005084436

• 血液透析患者における血清リン値のコントロール:高リン血症予防における食事指導を試みて

• 日本農村医学会雑誌 63(4), 670-674, 2014
• NAID 130004907046

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★リンクテーブル★

リンク元	「spontaneous fracture」「pathological fracture」
関連記事	「pathologic」「fracture」

「spontaneous fracture」

　　[★]

特発骨折、特発性骨折

関

pathologic fracture、pathological fracture

「pathological fracture」

　　[★]

病的骨折

関

pathologic fracture、spontaneous fracture

「pathologic」

　　[★]

• adj.

• 病的な、病理的な、病態的な、病理の、病態の

関

morbid、morbidly、pathologically、pathology、pathosis

「fracture」

　　[★]

• n.

• 骨折