Holmøy T, Sandberg L
Nevrologisk avdeling, Lillehammer fylkessykehus.
Tidsskr Nor Laegeforen. 1996 Jan 20;116(2):249.
We describe a patient with multiple sclerosis who suffered a painless hip fracture. She was admitted to the hospital three weeks after falling on her left hip. She had been unable to walk after the trauma, but had had no pain. The condition was initially misinterpreted as multiple sclerosis schub. X-ray examination showed fracture of the left femoral neck, and by the time she was admitted to hospital the patient was paretic. She has improved substantially after an operation involving cementless total hip arthroplasty. Painless fractures in patients with multiple sclerosis may be confused with exacerbations of their neurological disease.
我们描述了一名患有多发性硬化症的患者，她发生了无痛性髋部骨折。她在左髋部着地摔倒三周后入院。受伤后她一直无法行走，但没有疼痛。该病情最初被误诊为多发性硬化症发作。X线检查显示左股骨颈骨折，入院时患者已出现轻瘫。在接受了非骨水泥型全髋关节置换手术后，她有了显著改善。患有多发性硬化症的患者出现的无痛性骨折可能会与神经系统疾病的加重相混淆。
