{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:26:48Z","timestamp":1791862008146,"version":"4.3.4"},"reference-count":25,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["injuryjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Injury"],"published-print":{"date-parts":[[2014,11]]},"DOI":"10.1016\/j.injury.2014.08.037","type":"journal-article","created":{"date-parts":[[2014,8,30]],"date-time":"2014-08-30T20:00:47Z","timestamp":1409428847000},"page":"1764-1771","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":70,"title":["Potential pathogenic mechanism for stress fractures of the bowed femoral shaft in the elderly: Mechanical analysis by the CT-based finite element method"],"prefix":"10.1016","volume":"45","author":[{"given":"Yoto","family":"Oh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Wakabayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiro","family":"Kurosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Okawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.injury.2014.08.037_bib0005","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1210\/jc.2004-0952","article-title":"Severely suppressed bone turnover: a potential complication of alendronate therapy","volume":"90","author":"Odvina","year":"2005","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.injury.2014.08.037_bib0010","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1302\/0301-620X.89B3.18146","article-title":"Subtrochanteric insufficiency fractures in patients on alendronate therapy: a caution","volume":"89","author":"Goh","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.injury.2014.08.037_bib0015","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1056\/NEJMc0707493","article-title":"Atypical fractures of the femoral diaphysis in postmenopausal women taking alendronate","volume":"358","author":"Lenart","year":"2008","journal-title":"N Engl J Med"},{"key":"10.1016\/j.injury.2014.08.037_bib0020","doi-asserted-by":"crossref","first-page":"2267","DOI":"10.1002\/jbmr.253","article-title":"American Society for Bone and Mineral Research. Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research","volume":"25","author":"Shane","year":"2010","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.injury.2014.08.037_bib0025","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1001\/jama.1964.03060260029006","article-title":"Fatigue, insufficiency, and pathologic fractures","volume":"187","author":"Pentecost","year":"1964","journal-title":"JAMA"},{"key":"10.1016\/j.injury.2014.08.037_bib0030","series-title":"Stress fractures","first-page":"107","article-title":"Stress fractures of the femur","author":"Devas","year":"1975"},{"key":"10.1016\/j.injury.2014.08.037_bib0035","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1007\/s00776-014-0572-9","article-title":"Stress fracture of the bowed femoral shaft is another cause of atypical femoral fracture in elderly Japanese: a case series","volume":"19","author":"Oh","year":"2014","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.injury.2014.08.037_bib0040","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1007\/s00776-008-1262-2","article-title":"Unilateral stress fracture of the femoral shaft combined with contralateral insufficiency fracture of the femoral shaft after bilateral total knee arthroplasty","volume":"13","author":"Niimi","year":"2008","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.injury.2014.08.037_bib0045","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.knee.2010.06.002","article-title":"Bilateral stress fracture of the femoral shaft after total knee arthroplasty","volume":"18","author":"Lim","year":"2011","journal-title":"Knee"},{"key":"10.1016\/j.injury.2014.08.037_bib0050","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/jbmr.1998","article-title":"Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research","volume":"29","author":"Shane","year":"2014","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.injury.2014.08.037_bib0055","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1007\/s11999-013-3352-5","article-title":"Are race and sex associated with the occurrence of atypical femoral fractures?","volume":"472","author":"Marcano","year":"2014","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.injury.2014.08.037_bib0060","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0021-9290(97)00123-1","article-title":"Prediction of femoral fracture load using automated finite element modeling","volume":"31","author":"Keyak","year":"1998","journal-title":"J Biomech"},{"key":"10.1016\/j.injury.2014.08.037_bib0065","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.arth.2008.05.025","article-title":"A comparison of coronal plane axial femoral relationships in Asian patients with varus osteoarthritic knees and healthy knees","volume":"24","author":"Mullaji","year":"2009","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.injury.2014.08.037_bib0070","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1186\/ar4013","article-title":"Atypical subtrochanteric femoral shaft fractures: role for mechanics and bone quality","volume":"14","author":"van der Meulen","year":"2012","journal-title":"Arthritis Res Ther"},{"key":"10.1016\/j.injury.2014.08.037_bib0075","first-page":"77","article-title":"Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology","volume":"52","author":"Koh","year":"2011","journal-title":"Singapore Med J"},{"key":"10.1016\/j.injury.2014.08.037_bib0080","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00774-012-0358-0","article-title":"Low-energy diaphyseal femoral fractures associated with bisphosphonate use and severe curved femur: a case series","volume":"30","author":"Sasaki","year":"2012","journal-title":"J Bone Miner Metab"},{"issue":"Suppl. 1","key":"10.1016\/j.injury.2014.08.037_bib0085","article-title":"Association between the fracture site and the mechanical axis of lower extremities in patients with atypical femoral fracture","volume":"27","author":"Saita","year":"2012","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.injury.2014.08.037_bib0090","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/00005131-200408000-00003","article-title":"Mismatch of current intramedullary nails with the anterior bow of the femur","volume":"18","author":"Egol","year":"2004","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.injury.2014.08.037_bib0095","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1097\/01.bot.0000247073.79430.87","article-title":"Femoral nailing through the trochanter: the reamer pathway indicates a helical nail shape","volume":"20","author":"Ehmke","year":"2006","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.injury.2014.08.037_bib0100","first-page":"451","article-title":"The morphology of the femur in elderly Japanese female: analysis using 3D-CT","volume":"34","author":"Maehara","year":"2012","journal-title":"Kossetsu (Fracture)"},{"key":"10.1016\/j.injury.2014.08.037_bib0105","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/BOT.0b013e3181b6499b","article-title":"Femoral cortical stress lesions in long-term bisphosphonate therapy: a herald of impending fracture?","volume":"24","author":"Koh","year":"2010","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.injury.2014.08.037_bib0110","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.injury.2007.08.036","article-title":"An emerging pattern of subtrochanteric stress fractures: a long-term complication of alendronate therapy?","volume":"39","author":"Kwek","year":"2008","journal-title":"Injury"},{"key":"10.1016\/j.injury.2014.08.037_bib0115","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1359\/jbmr.090408","article-title":"Bilateral fractures of the femur diaphysis in a patient with rheumatoid arthritis on long-term treatment with alendronate: clues to the mechanism of increased bone fragility","volume":"24","author":"Somford","year":"2009","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.injury.2014.08.037_bib0120","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/aja.1000210202","article-title":"The laws of bone architecture","volume":"21","author":"Koch","year":"1917","journal-title":"Am J Anat"},{"key":"10.1016\/j.injury.2014.08.037_bib0125","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s007760200130","article-title":"Evolution of the Koch model of the biomechanics of the hip: clinical perspective","volume":"7","author":"Fetto","year":"2002","journal-title":"J Orthop Sci"}],"container-title":["Injury"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138314003970?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138314003970?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T14:02:12Z","timestamp":1565791332000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0020138314003970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["S0020138314003970"],"URL":"https:\/\/doi.org\/10.1016\/j.injury.2014.08.037","relation":{},"ISSN":["0020-1383"],"issn-type":[{"value":"0020-1383","type":"print"}],"subject":[],"published":{"date-parts":[[2014,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Potential pathogenic mechanism for stress fractures of the bowed femoral shaft in the elderly: Mechanical analysis by the CT-based finite element method","name":"articletitle","label":"Article Title"},{"value":"Injury","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.injury.2014.08.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}