Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 2:79

First Online: 11 March 2008Received: 12 July 2007Accepted: 11 March 2008DOI: 10.1186-1752-1947-2-79

Cite this article as: Gurdezi, S., Trehan, R.K. & Rickman, M. J Med Case Reports 2008 2: 79. doi:10.1186-1752-1947-2-79

Abstract

IntroductionWe present an interesting and unusual case of a 61-year-old woman with bilateral, undisplaced, stress neck of femur fractures associated with short-term steroid use. Insufficiency fractures of the neck of femur without preceding trauma have been described in the literature, although bilateral involvement is infrequent. These fractures have been associated with strenuous exercise, seizures, renal osteodystrophy, fluoride treatment, long-term corticosteroid use, amenorrhoea, abnormal anatomy and osteomalacia due to nutritional and-or hormonal factors.

Case PresentationThe case we present differs from other published reports, in that the patient-s symptoms developed acutely after only a short course of steroids and with no associated trauma or strenuous exercise. It is also the only case described where no operative intervention was required.

ConclusionOur case reiterates the importance of considering insufficiency or stress fractures in high-risk patients who present with musculoskeletal pain. Institution of bone protection should also be considered in these patients. Morbidity related to delayed treatment has been well documented, so a high level of clinical suspicion is imperative.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-2-79 contains supplementary material, which is available to authorized users.

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Autor: Sabahat Gurdezi - Ravi K Trehan - Mark Rickman

Fuente: https://link.springer.com/







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