Simultaneous Bilateral Fractures of the Femoral Neck

Tait, Gavin R.

doi:10.1177/003693308803300514

Cited by 9 publications

(5 citation statements)

References 3 publications

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“…It is important to note that this patient gave a definite history of a fall which led to the injury in contrast to fatigue fractures [5] where patients describe their leg giving way followed by pain. Bilateral fractured NOF have been reported in the literature in the elderly following minimal trauma [10]. However, in this case described the patient had a background of corticosteroid induced osteoporosis, gross obesity and rheumatoid arthritis.…”

Section: Discussionmentioning

confidence: 91%

Bilateral femoral neck fractures in an adult male following minimal trauma after a simple mechanical fall: a case report

2009

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BackgroundDespite being rare there are several reports in the medical literature of bilateral femoral neck fractures in adult patients. They have been reported to have occurred following major trauma, or as a result of primary or secondary bone disease. In this case report we describe for the first time in the literature bilateral femoral neck fractures in a patient following minimal trauma after a simple mechanical fall.Case presentationWe describe the case of an 84-year-old gentleman who sustained bilateral intracapsular fractures following a simple mechanical fall. Prompt diagnosis and early surgical intervention resulted in a satisfactory outcome.ConclusionThis case highlights that in the elderly, even in the absence of primary and secondary bone disease, bilateral neck of femur fractures can occur following relatively minor trauma. Consequently, the orthopaedic surgeon, emergency physician and general practitioner should be aware of this injury, particularly when managing traumatic injuries in confused patients.

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Section: Discussionmentioning

confidence: 91%

Bilateral femoral neck fractures in an adult male following minimal trauma after a simple mechanical fall: a case report

2009

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“…Atkinson et al 9 also has reported four cases of bilateral fracture neck femur following violent trauma, one after vehicular accident, two after fall of heavy object and one due to fall from height. There have been few reports of bilateral fracture neck femur in elderly patients following minimal trauma 10 . Also, it is important to have radiographs of pelvis with both hip in initial assessment for every patient, especially for elderly patients and patients with co-morbid conditions to rule out this rare entity.…”

Section: Discussionmentioning

confidence: 99%

Bilateral simultaneous neck femur fracture following domestic fall in an elderly patient: a rare case report

Vijayvargiya

Shetty

Makwana

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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Simultaneous bilateral neck femur fracture is a rare entity that has been associated with underlying bone disease, various metabolic diseases, high-energy trauma, and seizure disorders. Its occurrence following minimal trauma is very rare. This article presents the case of a 66-year-old female who sustained bilateral intracapsular fracture neck femur following a slip and fall at home. Single-stage bilateral cemented total hip replacement was done using a direct lateral approach with alternate right and left lateral positions. The authors report a satisfactory outcome, with Harris hip score of 98 at one year, which persisted until her last follow-up at 30 months.

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“…One case reported by Tair 4 described the injury in detail, but little was included on the specific management plan or guidance for clinicians in the future.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Simultaneous Neck of Femur Fractures Arising from a Simple Mechanical Fall—A Case Report for Guidance on Safe Surgical Management

Carter

Jefferies

2016

Journal of Orthopaedics, Trauma and Rehabilitation

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Simultaneous acute femoral neck fractures are rare and infrequently reported in the literature. Of the few published cases, most result from underlying pathological bone processes or violent muscle contractions including epileptic seizures and electrocution. We present the case of a 73-year-old lady with metastatic colon cancer who presented with acute bilateral neck of femur fractures following a simple fall. Following a comprehensive discussion with anaesthetic and surgical staff, and in conjunction with the patient, a decision was made to perform simultaneous bilateral cemented stem hip hemiarthroplasties. There were no perioperative complications, and the patient made a positive recovery, being transferred to a rehabilitation institute 3 days after the surgery. Two weeks later, she was discharged home to her family. We have demonstrated that this rare injury can be safely managed during a single operative session in the presence of an experienced multidisciplinary team, despite serious patient comorbidity.

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Simultaneous Bilateral Fractures of the Femoral Neck

Abstract: An 80-year-old woman suffered bilateral simultaneous fractures of her hips. This is the first reported case in the elderly. Both hips were replaced by Thompson hemi-arthroplasties at the same operation, and the patient was discharged home.

Cited by 9 publications

References 3 publications

Bilateral femoral neck fractures in an adult male following minimal trauma after a simple mechanical fall: a case report

Bilateral femoral neck fractures in an adult male following minimal trauma after a simple mechanical fall: a case report

Bilateral simultaneous neck femur fracture following domestic fall in an elderly patient: a rare case report

Bilateral Simultaneous Neck of Femur Fractures Arising from a Simple Mechanical Fall—A Case Report for Guidance on Safe Surgical Management

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