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Biomedical subjects

V Finsen

Publications and source records attributed to V Finsen.

45 records · Page 3Linked to original sources

The interrelationship of past and present fractures of the forearm and hand.

We analyzed 366 consecutive patients treated for low-energy trauma fractures below the elbow who had a history of previous fractures below the elbow. Patients with previous metacarpal or finger fractures were liable to have subsequent hand fractures of the ipsilateral side. Healed Colles' fractures appeared to confer a relative protection against refracture. Only one fifth of subsequent Colles' fractures were ipsilateral to the previous injury.

Adult↗

Colles' fracture as an indicator of increased risk of hip fracture. An epidemiological study.

The relative value of previous Colles' fracture and previous fractures of any other type as an indicator of likelihood of sustaining a subsequent hip fracture was investigated. The frequency of hip fractures was no higher in a group of 242 women and 20 men who had a past history of radius shaft or Colles' fracture than it was in 412 women and 112 men with a history of previous fractures of other types. Only in women, and only up to the age of 62, was the prevalence of previous Colles' fracture higher among hip fracture patients than in the general population. The prevalence of previous fractures of other types among hip fracture patients, however, was higher in women until the age of 70 and in men until the age of 80 than in the general population.

Adult↗

Changing incidence of hip fractures in rural and urban areas of central Norway.

The age- and sex-specific incidence of hip fractures is central Norway is reported for the periods of 1972-1973 and 1983-1984. The incidence of hip fracture for women had increased by approximately 22% in the intervening period. The region under investigation was subdivided into urban, semirural, and rural areas. The incidence was highest in the urban areas and lowest in the rural areas during both periods. This was most marked for cervical fractures and for women. The increase in incidence was the same in the rural and urban populations. A possible reason for the lower incidence of hip fractures in rural communities is that a more physically active life-style may protect against osteoporosis and fracture. Account should be taken of the lower incidence in rural areas when calculating the national hospital resources needed to care for hip fracture patients.

Age Factors↗

Prevention of fat embolism syndrome in patients with femoral fractures--immediate or delayed operative fixation?

From January 1976 until August 1980, femoral fractures in our department were initially stabilized with tibial traction and fixed operatively after 4-7 days. From August 1980 the fractures were treated with immediate operative fixation. In this retrospective study, we compared the incidence of fat embolism syndrome in 106 patients treated with delayed operative fixation to the incidence in 114 patients treated with immediate operative fixation. Eleven patients (10.4%) developed fat embolism syndrome in the group treated with delayed fixation, compared with two patients (1.8%) in the immediate osteosynthesis group (p less than 0.02). We concluded that early operative fixation of femoral fractures seems beneficial for the prevention of fat embolism syndrome.

Adolescent↗

Regional bone mineral density changes after Colles' and forehand fractures.

Patients who sustain a second Colles' fracture only in one of five instances refracture the previously injured wrist. In those who have sustained fractures of the metacarpals or phalanges of the hand (forehand) subsequent fractures of the forehand are twice as likely to be ipsilateral. We investigated whether persisting regional bone mineral changes could be the mechanism underlying these observations. Bilateral bone mineral density measurements were performed on twenty patients who had sustained a Colles' fracture and twenty-nine who had sustained forehand fractures more than one year previously. Among Colles' fracture patients there was an increase in bone mineral density in the distal radius of the fractured side when compared to the uninjured side of thirty-nine percent. The protection of these patients from subsequent ipsilateral Colles' fracture seems to be due to increased bone strength induced by the healing process. Among patients with forehand fractures no significant bone mineral changes could be demonstrated.

Adult↗

Past fractures indicate increased risk of hip fracture.

We compared the prevalence of previous fractures among 428 women and 147 men who had hip fractures with the fracture prevalence of the general population. An increased prevalence of previous fractures was found in patients with a hip fracture up to the age of 70 for women and 80 for men. Below these age limits, the probability of a later hip fracture increased with the number of previously sustained fractures.

Adult↗

The second hip fracture. An epidemiologic study.

We studied a group of 151 patients who were treated for various types of fractures and who all had a history of a previous hip fracture. A subgroup with new hip fractures had few of their second fractures on the same side as the initial fracture. It appears that a hip fracture reduces the risk of a subsequent hip fracture on the same side to one fourth and that cervical fractures reduce this risk to one sixth. A tendency was found for the hip fracture to be of the same type as the previous one. The time between the first and the second hip fracture was twice as long in those with a previous cervical fracture as in those with a previous trochanteric fracture.

Age Factors↗

Refracture of the hip rare after removal of fixation device.

We studied 99 patients who had had the fixation device removed from a healed hip fracture. During a total of 630 patient years 17 second hip fractures were observed, but only two of these were in the previously fractured hip. We conclude that the fixation device may be safely removed from a healed hip fracture.

Female↗