Sohal Harminder-Singh, Goyal Darsh
Department of Orthopaedics, Government Medical College and Hospital, Amritsar 143001, India.
Chin J Traumatol. 2013;16(2):126-8.
Simultaneous bilateral fractures of the femoral necks are rare injuries, especially when there is no underlying pathological condition. We report a 20-year-old man who sustained bilateral femoral neck fractures resulting from an accidental electric shock with 440 V direct current. Simultaneous bilateral femoral neck fractures after electrical shock injury without falling from a height are rather uncommon in clinic. The main cause of the fracture may be muscle contraction. This case highlights that even in the absence of primary and secondary bone disease, bilateral fractures of the femoral necks can occur following electric shock injury. We successfully managed this case with bilateral cannulated screw fixation without bone grafting. Surgeons caring for patients with electrical injury should be aware of the possibility of skeletal injuries which can go unnoticed, leading to delay in diagnosis and increased risk of complications.
双侧股骨颈同时骨折是罕见的损伤,尤其是在没有潜在病理状况的情况下。我们报告一名20岁男性,因440伏直流电意外电击导致双侧股骨颈骨折。电击伤后无高处坠落史而发生双侧股骨颈同时骨折在临床上相当少见。骨折的主要原因可能是肌肉收缩。该病例强调,即使没有原发性和继发性骨病,电击伤后也可能发生双侧股骨颈骨折。我们成功地通过双侧空心螺钉固定治疗了该病例,未进行植骨。治疗电损伤患者的外科医生应意识到可能存在未被注意到的骨骼损伤,从而导致诊断延迟和并发症风险增加。