Abstract
Case Report of Untreated Pediatric Femoral Neck Fracture With Osteopenia
Highlights
Pediatric femoral neck fractures account for less than 1% of all fractures in children.[1,2,3,4] Typically, this is a result of a high-energy trauma or fall from significant height.[1,2,3,4] This type of injury requires urgent surgery to prevent long term complications such as avascular necrosis, coxa vara, chondrolysis, premature physeal closure, and infection.[1,2,3,4]Presenting concerns and clinical findings: A 13-year-old female without past medical conditions presented with localized right hip pain of two years duration
The radiograph demonstrated diffuse osteopenia of the right hip and femur from chronic disuse as characterized by the increased radiolucency of the cortical bones compared to the left side
The patient had a total right hip arthroplasty with an adult orthopedic team at a children’s hospital. Her surgical course was uncomplicated. She was discharged with home physical therapy, touch down weight bearing of the right leg with crutches, and strict posterior hip precautions, which included no crossing of the legs and no flexing above 95 degrees
Summary
Pediatric femoral neck fractures account for less than 1% of all fractures in children.[1,2,3,4] Typically, this is a result of a high-energy trauma or fall from significant height.[1,2,3,4] This type of injury requires urgent surgery to prevent long term complications such as avascular necrosis, coxa vara, chondrolysis, premature physeal closure, and infection.[1,2,3,4]Presenting concerns and clinical findings: A 13-year-old female without past medical conditions presented with localized right hip pain of two years duration. Significant findings: On her right hip radiograph, the patient was found to have a right femoral neck fracture with superior displacement of the intertrochanteric portion of the right femur.
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