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SPONTANEOUS FRACTURE OF THE FEMORAL NECK FOLLOWING IRRADIATION Report of a Case
LENOX D. BAKER
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Orthopaedic Division of the Department of Surgery, Duke University School of Medicine, Durham
1941 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1941; 23:354-358 
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Abstract

1. With the advent of higher voltage irradiation there is an increased danger of damage to the deeper tissues in the irritated area.

2. Bone, as well as the soft parts, is subject to injury by the roentgen ray.

3. If radiation osteonecrosis involves the femoral neck, spontaneous fracture may possibly occur.

4. When there is pain about the hip joint following irradiation for gynecological cancer, skeletal metastases should not be assumed without definite roentgenographic evidence.

5. In no way is the deep roentgen-ray therapy condemned, nor is its efficacy in pelvic malignancies questioned. We should continue its use and at the same time be alert to its unavoidable complications.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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