{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T21:49:15Z","timestamp":1775339355247,"version":"3.50.1"},"reference-count":12,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"1","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Peritrochanteric hip fractures are most commonly treated with proximal femoral fixation devices, such as a cephalomedullary nail or sliding hip screw. As usage rates increase for these fixation devices, complications from their insertion are becoming more prevalent. Lateral hip pain from proximal locking device insertion and prominence continues to be one of the most frequent complaints regarding hardware irritation following this surgical procedure. Conservative treatment options for this complaint include local corticosteroid injection and physical therapy, although once these treatments have been exhausted, surgical intervention may be recommended. This has generally been managed previously with implant removal, although studies have shown associated femoral neck fractures after removal even with the prescribed protected postoperative weight bearing. Additionally, in certain situations (e.g., when the nail is placed for prophylactic treatment), its removal is contraindicated. The purpose of this manuscript is to describe an alternative treatment option that would limit morbidity, and the need for proximal locking device or implant removal by excising the portion of the iliotibial band causing hip irritation at the level of the proximal locking device, while leaving the retained implant in place. This surgical option would allow most patients to return to their pre-operative weight-bearing status immediately following surgery without the need for additional postoperative precautions.<\/jats:p>","DOI":"10.51894\/001c.12931","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T19:30:09Z","timestamp":1613417409000},"source":"Crossref","is-referenced-by-count":6,"title":["Management of Lateral Thigh Pain following Cephalomedullary Nail: A Technical Note"],"prefix":"10.51894","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0212-2074","authenticated-orcid":false,"given":"Michael","family":"Rosen","sequence":"first","affiliation":[{"name":"Michigan State University College of Osteopathic Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1889-0959","authenticated-orcid":false,"given":"Connor","family":"Kasik","sequence":"additional","affiliation":[{"name":"Michigan State University College of Osteopathic Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0839-8896","authenticated-orcid":false,"given":"Michael","family":"Swords","sequence":"additional","affiliation":[{"name":"Michigan Orthopedic Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29343","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1097\/00005373-198803000-00022","article-title":"Fracture of the femoral neck after internal fixation","volume":"28","author":"G.P. 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Shaer","year":"2012","journal-title":"Orthopedics"},{"issue":"5","key":"ref11","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/BOT.0b013e3180616ba5","article-title":"Calcium phosphate cement augmentation of the femoral neck defect created after dynamic hip screw removal","volume":"21","author":"E.J. Strauss","year":"2007","journal-title":"J. Orthop Trauma"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1016\/S0021-9290(01)00157-9","article-title":"Femoral neck fracture after removal of the standard gamma interlocking nail: A cadaveric study to determine factors influencing the biomechanical properties of the proximal femur","volume":"34","author":"C. Kukla","year":"2001","journal-title":"J Biomech"}],"container-title":["Spartan Medical Research Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/smrj.scholasticahq.com\/article\/12931-management-of-lateral-thigh-pain-following-cephalomedullary-nail-a-technical-note","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T19:59:05Z","timestamp":1739303945000},"score":1,"resource":{"primary":{"URL":"https:\/\/smrj.scholasticahq.com\/article\/12931-management-of-lateral-thigh-pain-following-cephalomedullary-nail-a-technical-note"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,8]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.51894\/001c.12931","relation":{},"ISSN":["2474-7629"],"issn-type":[{"value":"2474-7629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,8]]}}}