Upper limb fractures

Most importantly, treatment with glitazones seems to increase risk of fracture. Thus, in the ADOPT study, 4 years of treatment with rosigUta-zone cansed an increased risk of fractures in women, but not in men, in the foot and at the upper limb, involving the humerns and hand [13], The risk of fractnre was approximately doubled compared with treatment with either metformin or glyburide... 

Musculoskeletal Clinical studies have shown an increased risk of fractures, especially in females with the use of thiazelidiones. In the PERISCOPE study, fractures occurred in 3% of patients treated with pioglitazone, compared with none in the glimepiride group. The majority of fractures observed in females were in the distal upper limb (forearm, hand, and wrist) or distal lower limb (foot, ankle, fibula, and tibia). [59 ]... 

The measured values (specified in Figure 3) show, at a glance, that there is a variation in the values of bioimpedance in the different situations that can be present in a long bone structure innate integrity, fracture, integrity after the recuperation and no union after a long recuperation period. These values were measured in the upper limb (humerus) as well as in the lower limb (tibias and fibula). 

Fig. 9.3. Patient who fell from a 6-m height, admitted with a Glasgow Coma Scale score of 9. Neurological examination in the emergency room revealed an asymmetry of tone and deep tendon reflex involving both right upper and lower limbs. Admission contrast-enhanced cerebral CT demonstrated a displaced left parietal skull fracture, associated with a large cephalhematoma. A small left parieto-occipital epidural hematoma (white arrowhead) and a small contusion area (white...

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