We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pathologic Fracture of the Proximal Femur

Otto E. Aufranc, MD; William N. Jones, MD; Roderick H. Turner, MD
JAMA. 1967;199(5):329-333. doi:10.1001/jama.1967.03120050071016.
Text Size: A A A
Published online


Dr. Richard G. McCollum: An 18-year-old girl was admitted to a neighboring teaching hospital with a one-year history of pain in the lower left side of her back, left hip, and left thigh. She reported that this had been steadily progressive over the past 12 months. Two months prior to the current admission, her case had been evaluated in another hospital with a series of roentgenograms including a lumbar myelogram, all of which were normal.

Results of physical examination on admission were normal except for the left leg. There was mild induration and increased warmth of the outer aspect of the left thigh just below the hip joint. The proximal left thigh measured 2 cm larger in diameter than the right and was slightly tender to palpation.

Laboratory data were normal except for the following: hemoglobin value, 9.3 gm/100 cc; corrected sedimentation rate, 32 mm/hr. Roentgenograms were normal except for


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.