Abstract
Proximal femur fractures are rare pediatric injuries associated with high energy trauma as well as polytrauma. Injuries during childhood can cause a significant disability in some cases. The four Delbet classifications of femur fractures are frequently used as prognostic for potential avascular necrosis. Necessary treatment is urgent and needs to be tailored to the fracture type and patient age. This case report presents the detailed history, examination, and treatment of a six-year-old girl with an uncommon site of pediatric fracture at the femoral neck combined with an ipselateral displaced talus fracture due to a fall from the second floor. Talus fracture was missed and discovered in operation room; however, both fractures are highly associated with avascular necrosis and post-traumatic arthritis. The patient was followed for two years on regular basis after the initial operation with a normal gait, full range of motion, and no active complain.
Highlights
Pediatric femoral neck fractures are rare, frequently caused by a high mechanism of injury, and commonly combined with multiple trauma [1,2,3,4]
The present case is a six-year-old girl presented with an uncommon site of fracture at femoral neck combined with displaced talus fracture due to fall from the second floor
Pediatric hip fractures can be divided into four types that help determine operative versus non-operative treatment and predict the risk of avascular necrosis (AVN) of the femoral head
Summary
Pediatric femoral neck fractures are rare, frequently caused by a high mechanism of injury, and commonly combined with multiple trauma [1,2,3,4]. It is associated with a risk of possible long-term dysfunction and adverse complications [5,6,7]. Radiographs of the pelvis showed a type I transphyseal fracture without epiphyseal dislocation and a type III cervicotrochanteric ipsilateral femoral neck fracture (Figure 1).
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
