Fukui Kiyokazu, Kaneuji Ayumi, Hirata Hiroaki, Tsujioka Jun-Ichi, Shioya Akihiro, Yamada Sohsuke, Kawahara Norio
Department of Orthopedic Surgery, Kanazawa Medical University, Japan.
Department of Orthopedic Surgery, Kanazawa Medical University, Japan.
Int J Surg Case Rep. 2019;60:358-362. doi: 10.1016/j.ijscr.2019.06.058. Epub 2019 Jun 28.
Bilateral stress fracture of the femoral neck is very rarely seen in healthy young patients who are neither athletes nor military recruits.
The present report describes a 51-year-old male patient, not an athlete and with no previous history of disease, who developed bilateral stress fracture of the femoral neck without displacement.
Simultaneous bilateral femoral neck fracture is a rare injury. In the present case, two factors predisposed to bilateral occult fracture of the femoral neck. The first was osteoporosis due to the patient's smoking and alcohol abuse. The second was vitamin D deficiency osteomalacia associated with inadequate sun exposure.
All patients who present with spontaneous hip pain should be evaluated for osteoporosis and osteomalacia and assessed for underlying occult fracture if they report groin pain or difficulty in walking, even when findings from plain X-ray are normal, to improve prognosis in this rare and serious condition.
双侧股骨颈应力性骨折在既非运动员也非新兵的健康年轻患者中极为罕见。
本报告描述了一名51岁男性患者，他不是运动员，既往无疾病史，发生了双侧无移位的股骨颈应力性骨折。
双侧股骨颈同时骨折是一种罕见的损伤。在本病例中，有两个因素易导致双侧隐匿性股骨颈骨折。第一个因素是患者吸烟和酗酒导致的骨质疏松。第二个因素是与日照不足相关的维生素D缺乏性骨软化症。
所有出现自发性髋部疼痛的患者都应评估是否存在骨质疏松和骨软化症，若他们报告腹股沟疼痛或行走困难，即使X线平片检查结果正常，也应评估是否存在潜在的隐匿性骨折，以改善这种罕见且严重疾病的预后。
