Docker Charles, Starks Ian, Wade Roger, Wynn-Jones Charles
University Hospital of North Staffordshire, Stoke-on-Trent, UK.
Acta Orthop Belg. 2011 Jun;77(3):402-5.
We present the case of a woman diagnosed with simultaneous displaced intracapsular femoral neck fractures following the birth of her second child. No traumatic event was identified. Diagnosis was delayed as the cause of her pain was thought to be non-skeletal in origin. Radiological and serological investigations were diagnostic of osteomalacia. Surgical fixation of her fractures was further delayed due to profound hypocalcaemia. Despite the delays, fixation with bilateral dynamic hip screws resulted in union with no evidence of avascular necrosis at 2 years follow-up. We believe this to be the first report of atraumatic bilateral femoral neck fractures and it shows that a good result can be achieved even in the presence of delayed fixation.
我们报告一例女性病例，该女性在生育第二个孩子后被诊断为同时发生的囊内股骨颈移位骨折。未发现创伤事件。由于认为其疼痛原因非骨骼源性，诊断被延迟。放射学和血清学检查诊断为骨软化症。由于严重低钙血症，其骨折的手术固定进一步延迟。尽管有这些延迟，但在2年随访时，双侧动力髋螺钉固定导致骨折愈合，无缺血性坏死迹象。我们认为这是无创伤性双侧股骨颈骨折的首例报告，并且它表明即使存在延迟固定也能取得良好结果。
