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Non-traumatic Simultaneous Bilateral Femur Neck Fracture in a Young Female Unraveling End-Stage Renal Disease: A Case Report and Literature Review.
Ramadan, Raghad; Alkhatib, Amro; Diab, Adam Y; Abdallah, Amr; AlZoubi, Mohammad; Elifranji, Zuhdi O.
Afiliación
  • Ramadan R; School of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Alkhatib A; School of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Diab AY; School of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Abdallah A; School of Medicine, The University of Jordan, Amman 11942, Jordan.
  • AlZoubi M; School of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Elifranji ZO; Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman 11942, Jordan.
J Orthop Case Rep ; 14(5): 56-61, 2024 May.
Article en En | MEDLINE | ID: mdl-38784889
ABSTRACT

Introduction:

Spontaneous femur neck fracture is rare, especially when they occur bilaterally. Renal osteodystrophy is among the causes of these fractures that should be kept in mind. We report a case of a young female who presented with bilateral hip pain and was found to have bilateral femur neck fracture due to renal osteodystrophy. This was the first presentation of an undiagnosed end-stage kidney disease. This case report aims to highlight the importance of investigating the cause of these rare fractures in young patients and discuss available surgical options. Case Report A 19-year-old female presented complaining of bilateral hip pain. On physical examination, there was tenderness on palpation of both thighs. Her workup was significant for anemia, a high level of creatinine, hypocalcemia, elevated alkaline phosphatase, and parathyroid hormone. A pelvis radiograph showed bilateral femur neck fracture. Considering her very young age, the metabolic derangements she had and to avoid exposing her to a major surgery, we treated her fractures by fixation using three cannulated screws on each side. We aimed to report this case as it is an unusual presentation of a previously undetected stage 5 chronic kidney disease (CKD) in a very young patient.

Conclusion:

Renal osteodystrophy due to CKD can present with spontaneous bilateral femur neck fracture. Physicians should have a high index of suspicion for this condition not to miss a chronic disease with multiple sequelae. Furthermore, these fractures carry a high risk of complications and mortality, so they should be addressed promptly.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: India