What does PSPFF mean in UNCLASSIFIED
Post-stroke proximal femoral fracture (PSPFF) is an uncommon but potentially devastating complication of stroke, usually due to falls in the affected side. It often leads to a poor prognosis and can have deleterious long-term consequences for patients' quality of life and functional recovery. Although PSPFF is an infrequent event, when it does occur, it carries significant implications for clinical management and should be managed promptly and appropriately. This article will discuss post-stroke proximal femoral fractures: definitions, causes, diagnosis, treatment options and outcomes.
PSPFF meaning in Unclassified in Miscellaneous
PSPFF mostly used in an acronym Unclassified in Category Miscellaneous that means Post Stroke Proximal Femoral Fracture
Shorthand: PSPFF,
Full Form: Post Stroke Proximal Femoral Fracture
For more information of "Post Stroke Proximal Femoral Fracture", see the section below.
Definition
Post-stroke proximal femoral fracture (PSPFF) is defined as any fracture of the hip or proximal femur occurring after a cerebrovascular accident or stroke. It is commonly associated with a decrease in muscle strength and balance deficits in the affected lower extremity due to neurologic impairment following the stroke.
Causes
PSPFF may be caused by falls that are associated with weakened muscle control on one side due to post-stroke hemiparesis or weak coordination between the body's upper and lower extremities following a stroke. Falls are usually due to impaired balance brought on by any combination of physical impairments such as ataxia, weakness, visual disturbance/defects, incontinence or cognitive deficits. Other causes include injury from stretching out an affected leg while turning over in bed or standing up from a chair or sofa without assistance; positioning oneself in awkward positions; tripping over objects; reduced sensation secondary to neuropathy; or even stepping into something unstable such as potholes or loose gravel.
Diagnosis
The diagnosis of PSPFF relies upon accurate history taking supplemented by appropriate investigations including radiographs (X-rays), computed tomography (CT) scans, magnetic resonance imaging (MRI scans) and bone scans if necessary to confirm the diagnosis and determine its severity. Depending on the presenting symptoms investigations may also include tests for visual impairment/defects and cognitive function assessments which help identify risk factors for falls such as poor coordination between left limb mechanosensitivity deficit secondary to neuropathy et al that increase risk for PSPFF occurrence.
Treatment Options
Treatment options for PSPFF include non-operative measures such as bracing/casting/splinting to provide temporary external support and stabilization of the fractured area; analgesics as required for pain relief; physical therapy designed specifically for regaining strength and range of motion; light activities that involve minimal loading on the affected joint like swimming; wheelchair mobility aids such as wheelchairs/walking frames/walkers where necessary; use of safety devices like handrails near stairs/bedsides etc.; orthopedic surgery including open reduction internal fixation (ORIF), arthrodesis etc when indicated per individual patient's case. Surgery should always be considered in view of age related fragility fractures especially among elderly population suffering from osteoporosis conditions where conservative treatment modalities could further weaken surrounding muscles leading to increased risk of developing additional fractures if caution is not taken during rehabilitation period post ORIF procedure etc.,
Outcomes
Outcomes after PSPFF depend upon many factors including type & severity of fracture sustained along with underlying medical conditions which need to be taken into account before undertaking definitive treatment approach no matter what modality chosen by care provider since wide array of rehabilitative interventions required depending upon whether situation warrants operative versus nonoperative approaches etc., Some common short term adverse outcomes that can arise from PSPFF include difficulty ambulating post ORIF surgery requiring prolonged immobilization during rehabilitation period leading potential increased rates of deep vein thrombosis formation mild edema development at fracture site etc., Long term adverse outcomes depending upon patient's response rehabilitative interventions & rate healing process involve lengthened hospital stays prolonged recuperation periods persistent joint pain muscular dysfunctions contractures weakness inability regain full range motions surgical complications e g infection hardware failure avascular necrosis nonunion delayed union late onset hip disarticulation prosthetic implantation arthritis higher mortality rates amongst geriatric population higher risks re fracturing same bone bone defects deformities discussed particularly elderly patient population etc.,
Essential Questions and Answers on Post Stroke Proximal Femoral Fracture in "MISCELLANEOUS»UNFILED"
What is a Post Stroke Proximal Femoral Fracture?
A post-stroke proximal femoral fracture (PSPFF) is a fracture of the hip bone that occurs after a stroke. It occurs when weakened muscles, ligaments, and tendons can no longer hold the hip bone in place, causing it to break or crack.
What are the causes of a Post Stroke Proximal Femoral Fracture?
PSPFF is most commonly caused by a fall resulting from weakened muscles, ligaments, and tendons related to impaired mobility resulting from stroke. Other possible causes include advanced age, long term use of certain medications, and low bone density.
What are the symptoms of Post Stroke Proximal Femoral Fracture?
The most common symptom of PSPFF is severe pain in the hip area that worsens when the leg is moved or pressure is applied. In cases where bone displacement has occurred, swelling and bruising may be visible on the thigh and painful walking may also occur.
Who is at risk for developing Post Stroke Proximal Femoral Fracture?
People who have suffered a stroke are at an increased risk for developing PSPFF due to weakened muscles, ligaments, and tendons associated with impaired mobility. Other risk factors include advanced age, long term use of certain medications, and low bone density.
How can I prevent Post Stroke Proximal Femoral Fracture?
To reduce your risk of developing PSPFF you should take steps to maintain strong bones by eating a healthy diet rich in calcium and vitamin D as well as engaging in regular physical activity such as walking or swimming. It's also important to check with your doctor before taking any new medications to ensure they do not put you at further risk for fracture.
When should I seek medical attention regarding Post Stroke Proximal Femoral Fracture?
If you are experiencing any severe pain or discomfort in your hip area you should seek immediate medical attention as this may be an indication of PSPFF. Additionally if you notice any bruising or swelling on your thigh you should have it examined by a medical professional immediately.
Is surgery required to treat Post Stroke Proximal Femoral Fracture?
Surgery may be necessary for treating PSPFF depending on severity of the fracture and extent of displacement if any has occurred. Treatment may also include casting or bracing as well as lifestyle changes such as weight loss management if applicable. Your doctor will determine what type of treatment best suits your needs based on their assessment of your condition.
What kind of rehabilitation might I require after treatment for Post Stroke Proximal Femoral Fracture?
Rehabilitation following treatment for PSPFF typically consists of physical therapy designed to help improve strength and function in affected areas including range-of-motion exercises to help retain flexibility in joints such as those around the hips; strengthening exercises aimed at strengthening muscle groups used during gait; balance training; relearning basic motor skills such as walking; and gait training with potential assistance devices such as walkers or crutches.
Is it possible for me to regain full function following treatment for Post Stroke Proximal Femoral Fracture?
Recovery from PSTF varies greatly from person to person depending on severity level prior injury history etc., however many people are able much regain full rangeand functional movement with proper rehab exercises including range-of-motion strengthening flexibility balance training etc.. In some cases additional surgeries may be necessary particularly if displacement has occurred.
Are there exercise precautions I need to take after recovering from Post Stroke Proximal Femoral Fracture?
After recovering from PSTF it's important that you discuss prevention strategies with your doctor including choosing low impact exercise rather than running jumping sports etc., using proper footwear and avoiding heavy lifting or strenuous activities until cleared by your doctor.