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ISOLATED TRABECULAR FATIGUE FRACTURES IN THE FEMORAL HEAD

R. C. Todd 1; M. A. R. Freeman 1; ; and C. J. Pirie 1

1 Department of Orthopaedics, the London Hospital; London, England

1. The femoral head has been examined in specimens taken from cadavers, patients suffering subcapital fracture of the femoral neck and patients undergoing total replacement arthroplasty for osteoarthrosis and rheumatoid arthritis.

2. Lesions have been seen, some of which appear to be uniting fatigue fractures of individual trabeculae.

3. It is suggested that excessive cyclical loading, sometimes leading to fatigue fractures, may represent a fundamental pathological process of general importance in the evolution of certain skeletal and articular diseases.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General