scholarly journals Inflammatory Bowel Disease, High-Dose Steroids, Osteoporosis, or an Oncological Etiology for a Pathological Femoral Neck Fracture in a Young Adult: A Case Report

2014 ◽  
Vol 8 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Brandon Raudenbush ◽  
Ian Walton ◽  
Ashley Simela ◽  
Michael Retino
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Hip Fractures ◽  
English Language ◽  
Traumatic Event ◽  
Young Patients ◽  
High Energy ◽  
High Dose ◽  
Neck Fracture ◽  
High Index Of Suspicion

Femoral neck fractures occur in approximately 6,000 of young adults annually (ages 18-49) (1). Of these, a high-energy traumatic event is the typical cause. Although medications and chronic diseases have been implicated as confounding causes of hip fractures, clinicians should have a high index of suspicion for an oncologic etiology of hip fractures occurring in young patients without an inciting traumatic event. Study Design: A case report and literature search in the English language.

scholarly journals Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Barak Rinat ◽  
Noam Bor ◽  
Eytan Dujovny ◽  
Nimrod Rozen ◽  
Guy Rubin
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Avascular Necrosis ◽  
Treatment Options ◽  
High Energy ◽  
Neck Of Femur ◽  
Neck Fracture ◽  
Fracture Diagnosis ◽  
Pediatric Orthopedic

Introduction: In contrast to adults, fractures of the neck of femur in children are relatively rare. The commonly described mechanism of injury is high energy trauma. Treatment options are almost always surgical. Prognosis, which entails relatively high rates of complications, varies with specific anatomic location, time to surgery, and reduction quality. Case Report: We describe two cases of 10- and 12-year-old girls who suffered a fracture of the neck of the femur, Delbet Type II and Type III, respectively, due to a suspected hyper-abduction injury while sliding on a water slide. Both patients were treated surgically, with the younger one developing signs of femoral head avascular necrosis a year postoperatively. Conclusion: Children with pain and an inability to bear weight after water sliding together with an adult companion at their backs should raise suspicion among medical staff of a femoral neck fracture. Prompt pediatric orthopedic consultation and treatment are needed in case of fracture diagnosis to reduce the risk of complications. Keywords: Avascular necrosis, child, femoral neck fracture.

scholarly journals Surgical Treatment Outcome in Young Adults With Femoral Neck Fractures

2020 ◽  
Vol 7 (1) ◽  
pp. 23-28
Author(s):  
Karim Pisoudeh ◽  
◽  
Kaveh Gharanizadeh ◽  
Mohammad Reza Sarshar ◽  
Mani Mahmoudi ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Analytical Study ◽  
Young Patients ◽  
Neck Surgery ◽  
High Energy ◽  
Anatomic Reduction ◽  
Neck Fracture ◽  
The Mean ◽  
Type Of Fracture

Background: Femoral Neck Fracture (FNF) is prevalent in young people. It is mostly due to high-energy trauma and creates many challenges in surgical repair. A few patients with hip fractures can fully recover from the injury and act independently in their daily activities. In this study, we evaluated the results of FNF operation in patients younger than 60 years.  Objectives: This study was conducted to evaluate the outcome of femoral neck surgery in young patients and comparison the complications according to types of surgery ,age,delay and type of FNF fracture.  Methods: This study was a retrospective-prospective descriptive and analytical study on patients 15 to 60 years old with FNF from 2013 to 2017. The surgical efficacy and its results were evaluated using the Harris Hip Scale (HHS). The obtained data were analyzed in SPSS version V. 24.  Results: The Mean±SD age of 53 study patients was 42.07±12.5 years. The Mean±SD femoral neck shortening was 7.05±5.42 mm, and the HHS score was 82.7±6.9. Avascular Necrosis (AVN) was seen in 10 (18.9%), malunion in 11 (20.8%), nonunion in 1 (1.9%)  and failure in 3 (5.7%) patients. Eight patients had reoperation procedures. The type of fracture, delay in surgery, type of operation, and the shortening of the femoral neck were predictive factors of postoperative complications (P<0.05).  Conclusion: According to this study, reducing the delay for surgery, increasing anatomic reduction, and preventing the shortening of the femoral neck can improve the quality of life, reduce complications, and decrease the economic burden. 

scholarly journals Hip dislocation following the treatment of femoral neck fracture: Case report

2010 ◽  
Vol 138 (3-4) ◽  
pp. 248-251
Author(s):  
Zoran Vukasinovic ◽  
Igor Seslija ◽  
Borislav Dulic
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Open Reduction ◽  
Weight Bearing ◽  
Young Patients ◽  
Hip Dislocation ◽  
Full Weight Bearing ◽  
Limited Range Of Motion ◽  
Femoral Head Osteonecrosis ◽  
Neck Fracture

Introduction. Femoral neck fractures are very rare in young patients and are frequently complicated by femoral head osteonecrosis and femoral neck nonunion. Case Outline. A 19-year-old girl with hip dislocation following the treatment of the femoral neck fracture is presented. The femoral neck fracture was initially treated by open reduction and three-screw fixation. After detecting the nonunion of femoral neck, valgus osteotomy was done. Secondary, iatrogenic, hip dislocation appeared. The patient had pains, and in clinical findings a shorter leg and limited range of motion in the hip - altogether 40 degrees. She was then successfully treated by open reduction, together with Chiari pelvic osteotomy and joint transfixation. Transfixation pin was removed three weeks following the operation. After that, the patient was put into the abduction device and physical therapy was started. The mentioned regimen lasted four months after the surgery, then the abduction device was removed and walking started. Full weight bearing was allowed eight months after surgery. Conclusion. As we have not found the literature data concerning the above mentioned problem, we solved it in the way that we usually do for the treatment of developmental dislocation of the hip in adolescence.

scholarly journals Bilateral Femoral Neck Fracture due to Electric Shock

2016 ◽  
Vol 2 (1) ◽  
pp. 18-20
Author(s):  
Rahul Peswani ◽  
BL Chandrakar ◽  
Rakesh Thakkar
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Direct Current ◽  
Electric Shock ◽  
Bone Disease ◽  
Late Presentation ◽  
The Other ◽  
Pathological Conditions ◽  
Neck Fracture

ABSTRACT Simultaneous bilateral fractures of the femoral neck are rare injuries in patients without underlying pathological conditions. We report a case of a 50-year-old male, who sustained bilateral femoral neck injury resulting from electric shock with 440 V of direct current. Bilateral femoral neck fracture is rare. Bilateral femoral neck fracture due to electric shock is even rarer. This case report highlights bilateral femoral neck fracture without primary and secondary bone disease. Late presentation and unclassified pattern of fracture are the other features. How to cite this article Peswani R, Chandrakar BL, Thakkar R. Bilateral Femoral Neck Fracture due to Electric Shock. J Med Sci 2016;2(1):18-20.

scholarly journals A Case Report of Femoral Neck Fracture in an Elderly Patient Managed by Non-operative Korean Medical Treatment : 42 Months Follow-up

2018 ◽  
Vol 35 (4) ◽  
pp. 252-258 ◽  
Author(s):  
Ju-ran Kim ◽  
Han Mi Gong ◽  
Seungah Jun ◽  
Jung Hee Lee ◽  
Bong Hyo Lee ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Femoral Neck ◽  
Medical Treatment ◽  
Femoral Neck Fracture ◽  
Neck Fracture

scholarly journals Simultaneous Bilateral Femoral Neck Fracture Due to a Tonic-Clonic Seizure and High-Dose Steroid Therapy

2020 ◽  
Vol 6 (3) ◽  
pp. 513-516
Author(s):  
Fernando Diaz Dilernia ◽  
Martin M. Estefan ◽  
Gerardo Zanotti ◽  
Fernando Comba ◽  
Francisco Piccaluga ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Steroid Therapy ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
High Dose ◽  
High Dose Steroid ◽  
Neck Fracture

scholarly journals The effect of patient, fracture and surgery on outcomes of high energy neck of femur fractures in patients aged 15–50

2018 ◽  
Vol 29 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Wayne Hoskins ◽  
Johnny Rayner ◽  
Rohan Sheehy ◽  
Harry Claireaux ◽  
Roger Bingham ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Outcome Measures ◽  
Surgical Procedures ◽  
Young Patients ◽  
Significant Risk ◽  
High Energy ◽  
Femoral Neck Fractures ◽  
Secondary Outcome ◽  
Femur Fractures

Introduction: High-energy femoral neck fractures in young patients can be devastating, with the risk of osteonecrosis, nonunion, malunion and lifelong morbidity. The aim of this study is to define the effects of patient, fracture and surgical factors on the outcome of high-energy femoral neck fractures in patients aged from 15 to 50 years. Methods: A retrospective review was conducted of high-energy femoral neck fractures in patients aged 15–50 managed surgically at a Level 1 Trauma Centre, using a prospectively recorded trauma database. Low energy trauma (including falls from <1 m), medical conditions adversely affecting bone density, and pathological fractures were excluded. A clinical and radiological review was performed. The primary outcome measures were the development of osteonecrosis or nonunion leading to total hip arthroplasty (THA). Secondary outcome measures included osteotomy or other surgical procedures, quality of reduction and malunion. Results: 32 patients meeting the inclusion criteria were identified between January 2008 and July 2015. The mean follow-up was 58.5 months (range 980–3,048 days). 3 patients (9.4%) required THA. No other surgical procedures were performed. None of the 29 other patients developed radiologically apparent osteonecrosis. Fracture type, displacement, anatomical reduction and fixation type were not statistically significant risk factors affecting these outcomes. For all patients, an average of 8% loss of femoral neck height and 10% femoral neck offset were seen. Conclusions: At a mean 4.9-year follow-up, the incidence of high-energy femoral neck fractures leading to THA was 9.4%, as a consequence of osteonecrosis or nonunion. Malunion was common.

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