Kwon Yong-Uk, Kong Gyu-Min, Park Jun-Ho
Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Hip Pelvis. 2016 Dec;28(4):264-268. doi: 10.5371/hp.2016.28.4.264. Epub 2016 Dec 28.
Marfan syndrome is an autosomal dominant and could decrease bone mineral density. So patients with Marfan syndrome could vulnerable to trauma in old ages. We present the first report, to the best of our knowledge, of a rare fracture of the femoral neck with a minor traumatic history in a juvenile Marfan syndrome patient whose physis is still open. Although the patient is young, her bone mineral density was low and the geometry of femur is changed like old ages. The femur neck fracture in children is very rare and only caused by high energy trauma, we concluded that the Marfan syndrome makes the bone weaker in young age and preventative medications to avoid fractures in younger Marfan syndrome patients are necessary in early ages.
马凡综合征是一种常染色体显性疾病，可导致骨密度降低。因此，马凡综合征患者在老年时易受创伤。据我们所知，我们首次报告了一名骨骺仍未闭合的青少年马凡综合征患者，其股骨颈发生罕见骨折，且外伤史轻微。尽管患者年轻，但她的骨密度较低，股骨形态已如老年人般改变。儿童股骨颈骨折非常罕见，通常仅由高能量创伤引起，我们得出结论，马凡综合征会使年轻人的骨骼更脆弱，因此有必要在早期对年轻的马凡综合征患者采取预防措施以避免骨折。
