整形１２

【臨床症状】80代　転倒後からの左股関節の痛み

【問題】画像所見と診断名は？

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    ▶答えはこちら
    • 左大腿頚部に骨皮質の連続性が確認できない骨折線を認める
    • 転位あり、関節血種なし
    • 大腿骨頚部骨折（Garden分類のStageⅣ相当）
    ※矢状断は非提示

    大腿骨頚部骨折

    ・大腿骨近位部骨折のうちの一つ

    ・高齢者に多く原因は骨粗しょう症が最多

    ・関節内骨折が頚部骨折、関節外骨折が転子部骨折

    ・日本では75歳未満では頚部骨折の方が多く、80歳を超えると転子部骨折の方が多くなる¹⁾

    ・分類にはガーデン分類が使われている

    1） Committee for Osteoporosis Treatment of The Japanese Orthopaedic Association． Nationwide survey of hip fractures in Japan．J Orthop Sci 9：1-5，2004