Simultaneous Bilateral Femoral Neck Fractures: Case Report

Schröder, J.; Marti, R K

doi:10.1024/1023-9332.7.5.222

Cited by 20 publications

(9 citation statements)

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“…The few cases of bilateral femoral neck fractures that have been reported in the elderly were associated with convulsive seizures [6][7][8][9][10], vitamin D deficiencies [11], fluoride treatment for osteoporosis [12], steroid treatment [13], celiac disease [14], mechanical stress [15,16], minimal traumas after a simple fall [17], and spontaneous fractures [18]. Several case reports were depicted among young patients, in which the bilateral femur fractures were associated with seizures [19][20][21][22], pharmaco-convulsive treatments [23], high-energy traumas [24], bone-related disorders [12,25,26], and electrical shock injuries [27][28][29]. Some of these cases were secondary to hypocalcaemic convulsions related to chronic renal failure [30,31].…”

Section: Discussionmentioning

confidence: 99%

“…transferring, continence, feeding) but was able to move independently at home. She had no history of cognitive decline, and her mini-mental state examination [5] score was 26/30 (normal range [24][25][26][27][28][29][30]. The patient's blood examinations confirmed the ESRD (serum creatinine = 5.7 mg/dL, urea = 72 mg/dL) and also revealed anemia (Hemoglobin = 10.7 g/dL, Hematocrit = 34.5 %), perhaps compatible with chronic renal failure.…”

Section: The Ogu Model Of Care and A Case Reportmentioning

confidence: 89%

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Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report

et al. 2015

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Hip fracture is a common occurrence in the elderly. Due to the growing demand for the specific care of these patients, we established the Orthogeriatric Unit (OGU) at San Gerardo University Hospital (Italy) in 2007. However, simultaneous bilateral femoral neck fractures among the geriatric population (those aged ≥65 years) are rarely reported in the literature. Reporting the rare case of a frail 76-year-old woman admitted with bilateral hip fracture and end-stage renal disease, we explain the important role played by the OGU and its flexible multidisciplinary approach for providing comprehensive care to patients with multimorbidity and clinical complexity. The team of geriatricians, orthopedic surgeons, anesthesiologists, and, in this case, a nephrologist, helped in the careful planning and timing of the single-step surgical repair, decided the appropriate type of anesthesia, and optimized outcomes. After a prompt evaluation of the patient, the OGU approach can achieve clinical stabilization prior to intervention. Along with a strict follow-up in the postoperative phase, this could result in a significant reduction of complications and mortality rates and an early start to a tailored rehabilitation process. We strongly suggest employing facilities with multidisciplinary teams for cases involving complex patients at short-term high risk for poor clinical outcomes. Indeed, the usual single-specialist model of care is gradually being abandoned worldwide.

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Section: Discussionmentioning

confidence: 99%

Section: The Ogu Model Of Care and A Case Reportmentioning

confidence: 89%

Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report

et al. 2015

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“…Bilateral fractures of femoral neck of femur can occur as a result of high-velocity injuries [7] or fall from a height [12]. But if there is a structural change to the bone or metabolic bone conditions, these fractures can occur even due to minor or trivial trauma.…”

Section: Discussionmentioning

confidence: 99%

A Missed Diagnosis of Bilateral Simultaneous Spontaneous Intracapsular Neck of Femur Fractures in a Rheumatoid Arthritis Patient

Rajeev

Jabbar

Zourob

et al. 2019

Case Reports in Orthopedics

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Bilateral spontaneous simultaneous fractures of the neck of femurs are extremely rare, and only a few cases have been reported in literature. They are usually following high-energy trauma or may be due to an underlying pathological process such as frailty, osteomalacia, rickets, and chronic renal disease. They can also occur following epilepsy and electric shock. We report a 79-year-old gentleman who presented with sudden onset of bilateral hip pain with a background of rheumatoid arthritis and long-term steroid treatment. The bilateral hip fractures were missed initially and later presented with completely displaced fractures of the neck of femurs. He underwent a single-stage bilateral cemented hemiarthroplasty and made a good recovery. Bilateral simultaneous fractures of the hip in patients with rheumatoid arthritis have not been reported in literature so far, and the diagnosis can be easily overlooked. In patients with bilateral hip pain, one should have a high index of suspicion. Further appropriate cross-sectional imaging in the form of CT or MRI should also be considered.

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“…19,36 Stable osteosynthesis with the blade plate allows early mobilization. 1 The operative technique was carried out as per steps defined on preoperative planning without image intensification to avoid radiation to the fetuses. 19,20 To our knowledge this is the first report in the literature of bilateral neglected displaced subcapital femoral neck 468 | www.c-orthopaedicpractice.com fractures in an epileptic, pregnant woman treated with primary valgus intertrochanteric osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Valgus intertrochanteric osteotomy in neglected simultaneous, bilateral, displaced subcapital femoral neck fractures in an epileptic pregnant woman

Magu

Rohilla

Gulia

et al. 2009

Current Orthopaedic Practice

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Simultaneous Bilateral Femoral Neck Fractures: Case Report

Cited by 20 publications

References 0 publications

Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report

Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report

A Missed Diagnosis of Bilateral Simultaneous Spontaneous Intracapsular Neck of Femur Fractures in a Rheumatoid Arthritis Patient

Valgus intertrochanteric osteotomy in neglected simultaneous, bilateral, displaced subcapital femoral neck fractures in an epileptic pregnant woman

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