Bilateral femoral neck fractures

Case contributed by Dr David Little

Presentation

Fall. Right hip pain.

Patient Data

Gender: Female
X-ray

There is an impacted, partially displaced, subcapital fracture of the right neck of femur.  

There is also a minimally displaced subcapital fracture of the left neck of femur.

There is gas projected over the right inguinal region which could represent a hernia. (This was later confirmed on CT).

Case Discussion

Simultaneous bilateral neck of femur fracture is rare and usually occurs in high impact trauma. It has also been described in patients with seizures and underlying bone abnormalities. In this case, the etiology was a simple fall in an elderly patient.

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Case information

rID: 61407
Published: 2nd Jul 2018
Last edited: 5th Jul 2018
Inclusion in quiz mode: Included
Institution: Royal United Hospital Bath

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