Search results for "Trochanter"
showing 10 items of 19 documents
Effects of High-Impact Training on Bone and Articular Cartilage: 12-Month Randomized Controlled Quantitative MRI Study
2013
Osteoarthritis and osteoporosis often coexist in postmenopausal women. The simultaneous effect of bone-favorable high-impact training on these diseases is not well understood and is a topic of controversy. We evaluated the effects of high-impact exercise on bone mineral content (BMC) and the estimated biochemical composition of knee cartilage in postmenopausal women with mild knee osteoarthritis. Eighty women aged 50 to 66 years with mild knee osteoarthritis were randomly assigned to undergo supervised progressive exercise three times a week for 12 months (n = 40) or to a nonintervention control group (n = 40). BMC of the femoral neck, trochanter, and lumbar spine was measured by dual-energ…
Do bone geometric properties of the proximal femoral diaphysis reflect loading history, muscle properties, or body dimensions?
2019
Abstract Objectives: The aim of this study was to investigate activity‐induced effects from bone geometric properties of the proximal femur in athletic vs nonathletic healthy females by statistically controlling for variation in body size, lower limb isometric, and dynamic muscle strength, and cross‐sectional area of Musculus gluteus maximus. Methods: The material consists of hip and proximal thigh magnetic resonance images of Finnish female athletes (N = 91) engaged in either high jump, triple jump, soccer, squash, powerlifting, endurance running or swimming, and a group of physically active nonathletic women (N = 20). Cross‐sectional bone geometric properties were calculated for the lesse…
Effects of barbell back squat stance width on sagittal and frontal hip and knee kinetics
2018
Different stance widths are commonly utilized when completing the barbell back squat during athletic general preparedness training. Width manipulation is thought to influence sagittal plane stimuli to the hip and knee extensors, the primary extensor musculature in the squat. However, how width manipulation affects frontal plane stimuli is less understood. Knowledge of hip and knee net joint moments (NJM) could improve exercise selection when aiming to improve sport-specific performance and prevent injuries. Fourteen adult amateur rugby athletes were recruited for this study. After a familiarization period, participants performed wide- (WIDE, 1.5× greater trochanter width) and narrow-stance …
Exercise loading history and femoral neck strength in a sideways fall: A three-dimensional finite element modeling study
2016
Over 90% of hip fractures are caused by falls. Due to a fall-induced impact on the greater trochanter, the posterior part of the thin superolateral cortex of the femoral neck is known to experience the highest stress, making it a fracture-prone region. Cortical geometry of the proximal femur, in turn, reflects a mechanically appropriate form with respect to habitual exercise loading. In this finite element (FE) modeling study, we investigated whether specific exercise loading history is associated with femoral neck structural strength and estimated fall-induced stresses along the femoral neck. One hundred and eleven three-dimensional (3D) proximal femur FE models for a sideways falling situ…
The internal calcar septum and its contact with the virtual stem in THR: a computer tomographic evaluation.
2003
The internal calcar septum is a ridge of cortical bone protruding from the inner cortical wall of the proximal femur into the medullary canal. It extends from the lesser trochanter into the femoral neck and narrows the femoral cavity in its dorsal third. This region is essential for THR stability, but the degree of contact between the septum and standard THR implants has never been studied. We obtained CT scans of 50 arthrotic hip joints from patients requiring THR. Virtual stems (50 straight/wedge-shaped and 50 anatomic stems) were placed in CT images of the femora using a PC-based preoperative planning unit. The dimensions of the septum, degree and location of contact between the septum a…
Preventive effect of risedronate on bone loss and frailty fractures in elderly women treated with anastrozole for early breast cancer.
2011
The aim of this study was to assess the effect of adjuvant anastrozole, alone or associated with risedronate, on BMD and bone fracture risk in women more than 70 years old with hormone receptor-positive early breast cancer (EBC). In a group of 51 elderly women (aged 76.4 ± 5.0 years) considered for adjuvant aromatase inhibitors for EBC, 24 patients with T-scores ≥ -2 and no prevalent fractures received anastrozole 1 mg/day (group A), and 27 patients with T-scores < -2, or with T-scores ≥ -2 and prevalent fractures (group B), received anastrozole (1 mg/day) plus risedronate (35 mg/week). Both groups received supplementation with 1 g calcium carbonate and 800 IU vitamin D per day. Differen…
Femoral neck's fracture in Fahr's Syndorme
2016
Fahr's syndrome is a rare neurological diseas characterized by the presence of idiopathic deposition of calcium in aeras of the brain that control movements.
Grundsätzliche Überlegungen zur Problematik der Abbrüche des Trochanter major bei und nach Winkelplattenosteosynthesen
1991
Intra- und postoperative Abbruche des Trochanter major bei der operativen Versorgung von pertrochanteren Femurfrakturen sind keine Seltenheit. In der vorliegenden Arbeit werden die wichtigsten Ursachen dargelegt und Empfehlungen zur Vermeidung dieser Komplikationen gegeben. Ein wichtiger Kritikpunkt beim operativen Zugang ist die allgemein empfohlene, aber vollig uberflussige L-formige Abtrennung des M.-vastus-lateralis-Ursprunges. Den entscheidenden Schwachpunkt stellt jedoch das fur die Einbringung der Implantate notwendige grose Knochenfenster in der lateralen Femurkortikalis dar.
Experimentelle Untersuchungen zur Schwächung der Stabilität des Trochanter major durch laterale Fensterung
1993
Ubliche 130°-Winkelplatten zur Versorgung huftgelenknaher Femurfrakturen haben den Nachteil, das durch das breite Einschlagfenster die laterale Femurkortikalis an biomechanisch wichtiger und hoch beanspruchter Stelle weitgehend unterbrochen wird; dies fuhrt haufig zu Komplikationen wie Abris des Trochanter major, mangelnde Stabilitat usw. Bei anderen Osteosyntheseverfahren, zum Beispiel der dynamischen Huftschraube, wird ein rundes Loch gebohrt. An zehn Femurpaaren wurde experimentell die Minderung der Stabilitat objektiviert, die durch die laterale Fensterung fur eine Osteosynthese entsteht, wobei die rechteckige Fensterung fur Winkelplatten und die kreisrunde Fensterung fur die dynamische…
Preserving the abductor mechanism in robotic THR: the influence of stem design and cutterpath.
2004
The tip of the greater trochanter is the attachment site for the abductor muscles of the hip joint. Its preservation in robotic and conventional THR is important for normal gait. The effect of different stem designs and robotic cutterpaths on the preservation of the trochanter tip is examined.One anatomical stem, one straight stem, and one stem specifically designed for robotic THR were implanted virtually in CT scans of osteoarthrotic hip joints using the Torch preoperative planning unit (URS-ortho). In transverse sections of the trochanter tip, dimensions of the trochanter area removed by the milling tool were recorded for each stem design and different cutterpaths (3-axis versus 5-axis m…