Gómez J, Albareda J, Ezquerra L
Department of Orthopaedic Surgery, Lozano Blesa Clinical Hospital, Zaragoza, Spain.
Int J Surg Case Rep. 2017;33:97-98. doi: 10.1016/j.ijscr.2017.02.047. Epub 2017 Feb 27.
Trochanteric hip fractures in elderly patients with osteoporosis are commonly caused by low energy trauma. The cardioversion therapy is an extremely rare cause of this type of fracture.
We report the case of a woman with hip fracture after cardioversion.
We discuss the production mechanism of this injury and the importance of the care of the osteoporotic bone under these therapies.
The propofol sedation should be complemented with skeletal muscle relaxants in the cardioversion therapy to avoid hip fracture in select patients with osteoporosis.
老年骨质疏松患者的股骨转子间髋部骨折通常由低能量创伤引起。心脏复律治疗是这类骨折极为罕见的病因。
我们报告一例心脏复律后发生髋部骨折的女性病例。
我们探讨了这种损伤的产生机制以及在这些治疗方法下对骨质疏松骨骼进行护理的重要性。
在心脏复律治疗中,丙泊酚镇静应辅以骨骼肌松弛剂,以避免特定骨质疏松患者发生髋部骨折。