Bilateral Femoral Neck Fractures Research Articles

Bilateral Neck of Femur Fractures in a Young Male Following Physical Assault

Bilateral Neck of Femur Fractures in a Young Male Following Physical Assault

Femoral neck fracture after femoral head necrosis: a case report and review of the literature

IntroductionPathological fractures of the femoral neck caused by necrosis of the femoral head are extremely rare. Here, we report a rare case of bilateral femoral head osteonecrosis extending to the femoral neck, with bilateral pathological fractures of the femoral neck occurring within a short period of time.Case reportA 65-year-old male with a 25-year history of daily consumption of 750 ml of liquor, presented with right hip pain after labor for 1 month. He subsequently sustained a right femoral neck fracture without trauma and underwent a right total hip arthroplasty. Two months later, he suffered a non-traumatic left femoral neck fracture and underwent a left total hip arthroplasty. Histopathological examination revealed osteonecrosis of the femoral head and neck, along with the presence of osteoclasts and granulomatous inflammation. Bone mineral density testing also showed osteoporosis. The bilateral femoral neck fractures were ruled out to be caused by any other pathological factors.DiscussionThis is the first report of pathological fractures of the bilateral femoral neck caused by femoral head necrosis. During the literature review process, we found that this case conforms to the histological characteristics of rapidly destructive hip disease and analyzed the etiology of femoral head necrosis and the pathogenesis of femoral neck fractures.

P01 An unusual case of pregnancy associated osteoporosis presenting with bilateral neck of femur fractures

P01 An unusual case of pregnancy associated osteoporosis presenting with bilateral neck of femur fractures

Long-term results of a post-partum bilateral Garden 4 femoral neck fracture in a young woman with transient osteoporosis treated with closed reduction and internal fixation

Bilateral femoral neck fractures are very rare conditions. In our knowledge, only five cases were reported of bilateral acute femoral neck fracture secondary to transient osteoporosis. The present case is the first with a long-term follow up after treatment with closed reduction and internal fixation. A 32-year-old women was admitted to the emergency orthopedic clinic due to severe pain in both hips and an inability to walk one-day post-partum. Clinical examination revealed bilateral externally rotated legs and X-ray showed bilateral Garden 4 displaced subcapital fracture of the neck of the femur. The patient was operated on urgently by closed reduction and internal fixation. Osteoporosis was found in the measurements of bone mineral density and bisphosphonate with vitamin D medication was started. 6 years after surgery the patient can carry out her daily activities without limitation. His Harris hip score was 97 points/right and 95 points/left; and the X-ray was normal regarding osteoarthritis and avascular necrosis. Internal fixation should be the primary choice for the treatment of a bilateral femoral neck fractures with a high degree of displacement in young adults even with reversible poor bone quality condition such transient osteoporosis.

Nontraumatic Bilateral Neck of Femur Fracture in Elderly Male Post-seizure Attack

Nontraumatic Bilateral Neck of Femur Fracture in Elderly Male Post-seizure Attack

Anesthetic Management of Bilateral Neck of Femur Fracture for Bilateral Hip Arthroplasty with CKD and Seizure Disorder

In elderly hip fractures are common presentations which require surgical intervention. These patients have increased morbidity and mortality due to associated comorbidities like renal, cardiac, respiratory, endocrine or neural diseases. Chronic kidney disease is one of the common complications of long standing uncontrolled hypertension and diabetes mellitus. Patients with CKD are exposed to an increased risk for adverse outcomes and further perioperative injuries resulting from hemodynamic instability, hypovolemia, or drug toxicity, each of which has the potential to aggravate renal dysfunction, ultimately leading to end stage renal disease, and reduced long-term survival. It is estimated that there are approximately 7.85 million chronic renal failure patients in India.1 Diabetes mellitus and hypertension reaching epidemic proportion in urban population and chronic kidney disease being inevitable in long standing untreated cases, providing anesthesia to patients with chronic kidney disease poses a challenge. Case Report: A 48yr old male presented with bilateral neck of femur fracture following fall from height and was planned for bilateral hip arthroplasty. Patient is a known case of CKD on maintenance haemodialysis. He is also a known hypertensive, diabetic and seizure disorder on treatment. Patient has underwent epidural anesthesia. Conclusion: We present a successful anesthetic management of a dwarf patient with bronchial asthma and hypothyroidism who underwent hysterectomy. We emphasize the risk of neurological injury while extending the neck during laryngoscopy for tracheal intubation due to anatomical abnormalities in these patients. A detailed pre anesthetic evaluation evaluation and planning is utmost important and the anesthetic technique has to be individualized based on the patients anatomical characterstics and associated co-morbidities.

"Simultaneous Bilateral Femoral Neck Fractures Due to Vitamin D Deficiency and Chronic Ankle Instability in a Young Adult -- A Case Report and Literature Review"

"Simultaneous Bilateral Femoral Neck Fractures Due to Vitamin D Deficiency and Chronic Ankle Instability in a Young Adult -- A Case Report and Literature Review"

Bilateral Simultaneous Femoral Neck Fractures Secondary to Epileptic Seizure: Case Report

Bilateral Simultaneous Femoral Neck Fractures Secondary to Epileptic Seizure: Case Report

Bilateral Femoral Neck Fracture Operated By Bilateral Hip Hemiarthroplaty at One Time about Two Cases

Bilateral femoral neck fractures are a rare entity, most often occurring in the elderly, we report two cases of bilateral femoral neck fracture operated by a bilateral hip hemiarthroplasty in one time only with good progress after one year. In the litterature there are few cases of bilateral femoral neck fracture operated on in one time only, the objectif of this study is to discuss the implications of this case on our routine orthopedic practice.

Bilateral symmetrical stress fractures of femoral neck in HIV patient: case report and brief review of literature

Osseous changes in HIV positive patients receiving ART are three times greater than in normal individuals. These changes include osteopaenia/osteoporosis, stress fractures, fragility fractures and osteonecrosis. On an average, bone mineral density reduces by 2-6% in the first 2 years after commencement of antiretroviral therapy. High risk for stress fractures is observed in these patients. In present article, we report a case of bilateral femoral neck stress fractures in a known HIV patient.

Bilateral Bisphosphonate-related Atypical Femoral Neck Fracture in a Patient with Familial Mediterranean Fever: A Case Report

Bilateral Bisphosphonate-related Atypical Femoral Neck Fracture in a Patient with Familial Mediterranean Fever: A Case Report

Bilateral Femoral Neck Fracture in a Low Functional Demand Patient Treated with Simultaneous Bilateral Hemiarthroplasty: a Case Report and Literature Review

Bilateral Femoral Neck Fracture in a Low Functional Demand Patient Treated with Simultaneous Bilateral Hemiarthroplasty: a Case Report and Literature Review

Bilateral fractures of the femoral neck

Bilateral fractures of the femoral neck are rare and are usually associated with underlying bone diseases, previous metabolic diseases, high-energy trauma, electroshock, or seizure attack. Low-energy trauma, such as a fall, related bilateral fractures of the femoral neck are rare. We report a case of a 74-year-old woman with displaced bilateral femoral neck fractures following a fall. After admission, we performed bilateral cemented bipolar hemiarthroplasty and restored functional outcome postoperatively. Osteoporosis was confirmed by X-ray bone densitometry at the postoperative outpatient department follow-up.

Bilateral femoral neck fracture following a convulsion in the presence of chronic kidney disease. A case report.

Introduction and importanceBilateral femoral neck fractures in young adults are a rare entity. It is usually associated with pre-existing metabolic diseases, such as osteoporosis, renal osteodystrophy, or hypocalcemic seizures. Hence, it is essential in such cases to look for other associated injuries following a traumatic event. Missing associated injuries may lead to significant morbidities and poor functional outcomes.Case presentationA 37 years old male, who had chronic renal failure secondary to hypertension, and presented to the emergency room following a seizure episode, in which he developed a generalized tonic-clonic convulsion secondary to electrolyte imbalances with metabolic acidosis. As a result, he developed bilateral neck of femur fracture.Intervention and outcomeThe medical team optimized electrolytes imbalance and then the patient underwent surgical stabilization of both femur neck fracture, 1 year following the surgical fixation the patient had full range of motion of both hips with radiological evidence of complete healing of the fracture.ConclusionIn cases of fractures secondary to metabolic conditions, bilateral femoral neck fractures should be suspected and investigated; especially in young patients who develop a generalized tonic-clonic seizure. The etiology is multifactorial, and the treating surgeon should be aware of predisposing factors which may affect bone quality, thereby raising the risk of fractures even with low-energy atraumatic events. Hip preservation should always be the primary target when treating these patients.

Tenofovir Induced Fanconi Syndrome Complicated by Bilateral Neck of Femur Fractures.

Tenofovir Induced Fanconi Syndrome Complicated by Bilateral Neck of Femur Fractures.

Spontaneous bilateral femoral neck subcapital fractures in bilateral osteonecrosis of the femoral head: A case report and review of the literature

Femoral neck fracture rarely occurs during the course of osteonecrosis of the femoral head (ONFH). We report a case of spontaneous bilateral femoral neck subcapital fractures in the presence of bilateral ONFH. A 30-year-old man developed bilateral hip pain while working. Plain radiographs revealed bilateral displaced subcapital fractures of the femoral neck. Magnetic resonance imaging (MRI) scans demonstrated a typical finding of bilateral ONFH. The fractures were treated with bilateral total hip arthroplasty. He had recovered satisfactorily and could return to work without any problem. ONFH rarely causes bilateral femoral neck fractures. We performed routine laboratory blood examinations and biochemical and endocrine tests, which excluded the possibility of any underlying metabolic disorders. We also performed MRI to evaluate the severity of ONFH. Fractures occurred in the subcapital area between the interface of necrotic and regenerative bone. ONFH may suddenly deteriorate to become a femoral neck fracture without head collapse or any recognizable trauma event. Although rare, bilateral hip involvement is possible. Care should be directed to the proper diagnosis and appropriate treatment of such fractures.

Bilateral neck fracture in bimodular femoral stem after primary total hip arthroplasty: a case report

BackgroundBi-modular stems were introduced in primary total hip arthroplasty (THA) to enable better control of the femoral offset, leg length, and hip stability. Despite numerous reports on modular femoral neck fractures, some designs are still marketed worldwide. While the risk factors for the sudden failure are multifactorial and mostly known, the timing of this new THA complication is not predictable by any means.Case presentationIn this report, the literature regarding one of the most popular bi-modular stems with specific neck-stem coupling (oval Morse taper) is reviewed and illustrated with a case of bilateral modular neck fracture in a patient with idiopathic aseptic necrosis of femoral heads treated with primary bi-modular THA. Because of bilateral modular femoral neck fracture, which occurred 3 years on the left side and 20 years after implantation on the right side, the patient required a total of 6 revisions and 208 days of hospitalized care.ConclusionTo our knowledge, this is the first report of bilateral modular neck fracture in a single patient. Even though the same surgeon performed both operations and used the same neck length and orientation, fractures occurred with a 17-year time difference after implantation. This shows that we cannot predict with certainty when a fracture might occur. Orthopaedic surgeons should use bi-modular stem designs for primary THA very cautiously.

Osteomalacia: a forgotten diagnosis of multiple bone fractures.

We present a case of a 53-year-old female patient with chronic anemia, with no other significant medical history and on no regular medications. The patient was brought to the accident and emergency department following found on the floor of her home after having tripped over a mat and henceforth being unable to mobilize and complaining of pain in her bilateral hip and her right leg. X-rays confirmed bilateral neck of femur fractures and fracture of the distal end of the tibia and fibula. The bones were extremely gracile and osteoporotic. Investigations demonstrated raised parathyroid hormone levels (199 pg/mL, normal range (nr) 15-72), with low vitamin D (7 ng/mL, nr 50-100) and adjusted calcium (1.87 mmol/L, nr 2.2-2.6) levels. We have eliminated the diagnosis of myeloma. Calcium and vitamin D were replaced prior to the insertion of bilateral femoral nails.

Simultaneous Bilateral Femoral Neck and Proximal Humeral Fractures - Floating Members: A Case Report

Simultaneous Bilateral Femoral Neck and Proximal Humeral Fractures - Floating Members: A Case Report

A case report on bilateral femoral neck fractures secondary to transient osteoporosis of pregnancy

Pregnancy induced Transient osteoporosis of hip (TOH) is a rare, idiopathic self-limiting condition typically associated with the 3rd trimester of pregnancy and early postpartum period. We describe a case of neglected atraumatic bilateral femoral neck fractures secondary to pregnancy induced Transient osteoporosis of hip. Fractures were diagnosed six months after delivery. Fixation was not feasible owing to poor bone quality and neck resorption, two stage cementedmodular bipolar hemiarthroplasty were therefore performed for bilateral femoral neck fractures. Magnetic resonance imaging is the best non-invasive and safest investigative tool for pregnant women with hip pain and early detection can prevent complications and resorting to major surgeries.