array:24 [ "pii" => "S2387020618300743" "issn" => "23870206" "doi" => "10.1016/j.medcle.2018.02.002" "estado" => "S300" "fechaPublicacion" => "2018-04-23" "aid" => "4100" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2018;150:330" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775317303706" "issn" => "00257753" "doi" => "10.1016/j.medcli.2017.04.028" "estado" => "S300" "fechaPublicacion" => "2018-04-23" "aid" => "4100" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2018;150:330" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 11 "formatos" => array:2 [ "HTML" => 8 "PDF" => 3 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Fractura de fémur en un paciente con enfermedad de Paget poliostótica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "330" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fracture of the femur in a patient with polyostotic Paget's disease" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2050 "Ancho" => 2050 "Tamanyo" => 496488 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sagrario María Santos Seoane, Victor Arenas García, María Gallego Villalobos, Rocío Martínez Gutierrez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Sagrario María" "apellidos" => "Santos Seoane" ] 1 => array:2 [ "nombre" => "Victor" "apellidos" => "Arenas García" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Gallego Villalobos" ] 3 => array:2 [ "nombre" => "Rocío" "apellidos" => "Martínez Gutierrez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020618300743" "doi" => "10.1016/j.medcle.2018.02.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618300743?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317303706?idApp=UINPBA00004N" "url" => "/00257753/0000015000000008/v1_201804070413/S0025775317303706/v1_201804070413/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2387020618300755" "issn" => "23870206" "doi" => "10.1016/j.medcle.2018.02.003" "estado" => "S300" "fechaPublicacion" => "2018-04-23" "aid" => "4102" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2018;150:e23" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Desquamating collarette" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e23" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Collarete descamativo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1650 "Ancho" => 2999 "Tamanyo" => 657386 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Israel Pérez-López, Francisco José Navarro-Triviño, Antonio Martínez-López, Ricardo Ruiz-Villaverde" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Israel" "apellidos" => "Pérez-López" ] 1 => array:2 [ "nombre" => "Francisco José" "apellidos" => "Navarro-Triviño" ] 2 => array:2 [ "nombre" => "Antonio" "apellidos" => "Martínez-López" ] 3 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Ruiz-Villaverde" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S002577531730372X" "doi" => "10.1016/j.medcli.2017.04.030" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577531730372X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618300755?idApp=UINPBA00004N" "url" => "/23870206/0000015000000008/v1_201805060427/S2387020618300755/v1_201805060427/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020618300809" "issn" => "23870206" "doi" => "10.1016/j.medcle.2018.02.008" "estado" => "S300" "fechaPublicacion" => "2018-04-23" "aid" => "4289" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2018;150:e21-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Cushing's syndrome caused by a neuroendocrine carcinoma of the ampulla of Vater with ectopic adrenocorticotropic hormone secretion" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e21" "paginaFinal" => "e22" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Cushing producido por un carcinoma neuroendocrino de la ampolla de Vater productor de hormona adrenocorticotropa ectópica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Robles Lázaro, Ana Herrero Ruiz, Ana Isabel Sánchez Marcos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Robles Lázaro" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Herrero Ruiz" ] 2 => array:2 [ "nombre" => "Ana Isabel" "apellidos" => "Sánchez Marcos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775317307807" "doi" => "10.1016/j.medcli.2017.09.020" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317307807?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618300809?idApp=UINPBA00004N" "url" => "/23870206/0000015000000008/v1_201805060427/S2387020618300809/v1_201805060427/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Fracture of the femur in a patient with polyostotic Paget's disease" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "330" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Sagrario María Santos Seoane, Victor Arenas García, María Gallego Villalobos, Rocío Martínez Gutierrez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Sagrario María" "apellidos" => "Santos Seoane" "email" => array:1 [ 0 => "smsspulp@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Victor" "apellidos" => "Arenas García" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Gallego Villalobos" ] 3 => array:2 [ "nombre" => "Rocío" "apellidos" => "Martínez Gutierrez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Medicina Interna, Hospital San Agustín, Avilés, Asturias, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fractura de fémur en un paciente con enfermedad de Paget poliostótica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1833 "Ancho" => 1457 "Tamanyo" => 249550 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 91-year-old man with a history of hypertension, DM, chronic kidney disease, peripheral arterial disease with right supracondylar and left subcondylar amputation and Paget's disease, who was admitted due to a fracture of the right femur after falling out of bed, placing a splint for better traction alignment prior to surgery. X-rays showed intense bone remodelling, with predominantly sclerotic-phase bone formation areas, cortical thickening and increased bone density (very significant around the obturator foramens), mixed formation and resorption areas (both phases visible in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), alternating with osteolytic areas, such as those shown around the femoral condyles (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-04-18" "fechaAceptado" => "2017-04-27" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Santos Seoane SM, Arenas García V, Gallego Villalobos M, Martínez Gutierrez R. Fractura de fémur en un paciente con enfermedad de Paget poliostótica. Med Clin (Barc). 2018;150:330.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2050 "Ancho" => 2050 "Tamanyo" => 490831 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1833 "Ancho" => 1457 "Tamanyo" => 249550 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015000000008/v1_201805060427/S2387020618300743/v1_201805060427/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015000000008/v1_201805060427/S2387020618300743/v1_201805060427/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618300743?idApp=UINPBA00004N" ]
Journal Information
Share
Download PDF
More article options
Image in medicine
Fracture of the femur in a patient with polyostotic Paget's disease
Fractura de fémur en un paciente con enfermedad de Paget poliostótica
Sagrario María Santos Seoane
, Victor Arenas García, María Gallego Villalobos, Rocío Martínez Gutierrez
Corresponding author
Medicina Interna, Hospital San Agustín, Avilés, Asturias, Spain