男性患者因非同时双侧短暂性髋关节骨质疏松导致病理性股骨颈骨折：一例报告：声明与宣言
Pathological femoral neck fracture in a male patient due to non-simultaneous bilateral transient hip osteoporosis: A case report: Statements and Declarations.
作者信息
Diaz Dilernia Fernando, Estefan Martin, Zanotti Gerardo
机构信息
Adult Hip and Knee Reconstructive Surgery, Division of Orthopaedic Surgery, Department of Surgery, Queen's University & Kingston Health Sciences Centre, Kingston, Ontario, Canada, K7L 2V7.
Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires, Buenos Aires, C1199ACK, Argentina.
出版信息
J Clin Orthop Trauma. 2023 Jun 24;42:102207. doi: 10.1016/j.jcot.2023.102207. eCollection 2023 Jul.
UNLABELLED
We report a case of a 31-year-old man who developed a non-simultaneous bilateral transient hip osteoporosis (THO) complicated with an atraumatic undisplaced pathological femoral neck fracture (FNF) of his left hip. He was successfully treated with internal fixation on the left hip, and a follow-up Magnetic Resonance Imaging evidenced satisfactory resolution on the right side. Diagnosis and management of THO are usually challenging as symptoms before pathological FNFs might be misdiagnosed. This case highlights the importance of suspecting pathological FNFs when pain persists despite conservative treatment. Finally, surgical treatment is strongly recommended if a pathological FNF is confirmed.
LEVEL OF EVIDENCE
Level IV.
未标注
我们报告一例31岁男性病例，其出现非同时性双侧短暂性髋关节骨质疏松（THO），并伴有左侧髋关节无创伤性无移位病理性股骨颈骨折（FNF）。他接受了左侧髋关节内固定治疗，随访磁共振成像显示右侧病情得到满意缓解。THO的诊断和治疗通常具有挑战性，因为病理性FNF出现前的症状可能会被误诊。该病例强调了在保守治疗后疼痛持续存在时怀疑病理性FNF的重要性。最后，如果确诊为病理性FNF，强烈建议进行手术治疗。
证据级别
四级。
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