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一名成年男性在简单机械性跌倒后受到极小创伤,出现双侧股骨颈骨折:病例报告。

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

作者信息

Sood Asheesh, Rao Christopher, Holloway Ian

机构信息

Department of Biosurgery and Surgical Technology, Imperial College London, 5 Cheerytree House, Droop Street, London W10 4EL, UK.

出版信息

Cases J. 2009 Jan 28;2(1):92. doi: 10.1186/1757-1626-2-92.

Abstract

BACKGROUND

Despite 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 PRESENTATION

We 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.

CONCLUSION

This 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.

摘要

背景

尽管成人双侧股骨颈骨折在医学文献中报道较少,但仍有相关病例。据报道,此类骨折发生于严重创伤后,或由原发性或继发性骨病导致。在本病例报告中,我们首次在文献中描述了一名患者在简单机械性跌倒后受到轻微创伤,却发生双侧股骨颈骨折的情况。

病例介绍

我们描述了一名84岁男性患者的病例,该患者在一次简单机械性跌倒后发生双侧囊内骨折。及时诊断和早期手术干预取得了满意的结果。

结论

本病例表明,在老年人中,即使没有原发性和继发性骨病,相对轻微的创伤也可能导致双侧股骨颈骨折。因此,骨科医生、急诊科医生和全科医生应意识到这种损伤,尤其是在处理意识不清患者的创伤时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c22/2637257/d0c65b0f0071/1757-1626-2-92-1.jpg

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