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Bilateral Simultaneous Femoral Neck Fracture Mimicking Abdominal Pain in a Cerebral Palsy Patient
Joint Authors
Mariani, P.
Ali, P.
Buttaro, Martin A.
Piccaluga, Francisco
Zanotti, Gerardo
Comba, Fernando M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Simultaneous bilateral femoral neck fractures are unusual lesions, generally associated with an underlying condition which causes impaired bone mineralization, triggered by an increased bone stress.
We present a 24-year-old cerebral palsy patient, who was previously evaluated in another institution due to inability to walk, interpreted as abdominal pain.
No alteration in blood analysis or abdominal X-rays was found.
As no response to treatment was observed, a new abdominal X-ray was taken, which incidentally depicted bilateral medial femoral neck fracture.
He was referred to our practice after a resection arthroplasty was offered in another institution.
After admission, bilateral one-stage THA was performed.
Several reports emphasize bone disease as a major precipitating factor, and there is an increased incidence of hip fractures in chronic epilepsy, renal osteodystrophy, and chronic steroid use.
Femoral head resection has been proven to be effective in immobilized patients, whereas this was not a reasonable option in this patient who presented walking ability.
Despite the treatment election, primary care physicians should be aware of and alert to the possibility of fractures in patients with neurological disorders and calcium metabolism alterations.
Late diagnosis of orthopedic injuries in this type of patients may lead to permanent disability.
American Psychological Association (APA)
Mariani, P.& Buttaro, Martin A.& Comba, Fernando M.& Zanotti, Gerardo& Ali, P.& Piccaluga, Francisco. 2014. Bilateral Simultaneous Femoral Neck Fracture Mimicking Abdominal Pain in a Cerebral Palsy Patient. Case Reports in Orthopedics،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034891
Modern Language Association (MLA)
Mariani, P.…[et al.]. Bilateral Simultaneous Femoral Neck Fracture Mimicking Abdominal Pain in a Cerebral Palsy Patient. Case Reports in Orthopedics No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034891
American Medical Association (AMA)
Mariani, P.& Buttaro, Martin A.& Comba, Fernando M.& Zanotti, Gerardo& Ali, P.& Piccaluga, Francisco. Bilateral Simultaneous Femoral Neck Fracture Mimicking Abdominal Pain in a Cerebral Palsy Patient. Case Reports in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034891
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034891