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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 6 (6page)
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Background: Although bone scan might be useful to detect incomplete atypical femoral fractures (AFFs) earlier than radiographs, there is no study on predicting further progression to a complete fracture among incomplete AFFs. Our purposes are to determine whether bone scan detects impending complete fracture among incomplete AFFs. Methods: We reviewed 18 patients (20 AFFs) who underwent bone scan at the diagnosis of incomplete AFF and were not treated with prophylactic fixation. A diagnosis of impending complete fracture was made, when the femur completely fractured within 6 months after the scan. We correlated radioisotope uptake with the impending complete fracture to calculate sensitivity, specificity, positive predictive value and negative predictive value of bone scan. Results: Thirteen AFFs (65%, 13/20) showed a positive uptake in bone scan. Among the 13, only one femur was completely fractured within 6 months. None of the 7 femurs without uptake in bone scan fractured. In diagnosing impending complete fracture, the sensitivity of bone scan was 100% and negative predictive value was 100%. However, the specificity (36.8%) and positive predictive value (7.7%) were quite low. Conclusion: Bone scan has no significant role in detecting the impending complete fracture, and a positive uptake does not mean the necessity of prophylactic fixation of incomplete AFF.
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참고문헌 (23)
참고문헌 신청
Lee YK / 2015 / Management of osteoporosis in South Korea / Crit Rev Eukaryot Gene Expr 25(1):33~40
하용찬 / 2014 / Physicians’ Attitudes to Contemporary Issues on Osteoporosis Management in Korea / 대한골대사학회지 21(2):139~145
Thompson RN / 2012 / Atypical femoral fractures and bisphosphonate treatment: Experience in two large United Kingdom teaching hospitals / J Bone Joint Surg Br 94(3):385~390
Yoon RS / 2011 / Long-term bisphosphonate usage and subtrochanteric insufficiency fractures: A cause for concern? / J Bone Joint Surg Br 93(10):1289~1295
Teo BJ / 2014 / Post-operative outcomes of atypical femoral subtrochanteric fracture in patients on bisphosphonate therapy / Bone Joint J 96-B(5):658~664
하용찬 / 2014 / Physicians’ Attitudes to Contemporary Issues on Osteoporosis Management in Korea / 대한골대사학회지 21(2):139~145
Thompson RN / 2012 / Atypical femoral fractures and bisphosphonate treatment: Experience in two large United Kingdom teaching hospitals / J Bone Joint Surg Br 94(3):385~390
Yoon RS / 2011 / Long-term bisphosphonate usage and subtrochanteric insufficiency fractures: A cause for concern? / J Bone Joint Surg Br 93(10):1289~1295
Teo BJ / 2014 / Post-operative outcomes of atypical femoral subtrochanteric fracture in patients on bisphosphonate therapy / Bone Joint J 96-B(5):658~664
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