No abstract

In clinically stable hips, delayed ultrasound between three and five months is regarded as safe and could prevent for overtreatment of mild dysplastic hips.

Introduction: Proximal femoral fractures are amongst the most common type of fractures in elderly patients. Osteoporosis is the main underlying cause of these low-energetic fractures. Patients younger than 50 accounts for less than 5% of the total fracture incidence and low-energetic fractures in children and young adults are extremely rare. We report three cases of young patients with a low-energetic hip fracture and review the pathogenesis of these fractures. Case Series: A 19-year-old woman with a history of psychosocial disorders including severe anorexia nervosa was treated for an extracapsular femoral neck fracture. A 25-year-old man was treated for a dislocated extracapsular femoral neck fracture. He was diagnosed with a heterozygote Collagen Type I Alpha 1 Chain (COL1A1) mutation resulting in osteogenesis imperfecta type I. a 22-year-old man with a left-sided hemiparesis caused by laminectomies was admitted with an un-displaced femoral neck fracture. One year earlier he had an unsuccessful surgery of his left knee followed by a lengthy period of immobilization. Discussion: Our hospital treated 490 patients in 2017 and recorded only these three cases of young adults with a low-energy proximal femoral fracture. Known causes of osteoporosis in young adults include chronic inflammatory, endocrinal, neuromuscular, metabolic, and genetic diseases. Amongst these are anorexia nervosa, osteogenesis imperfecta and reserved load-bearing physical activity present in the reported cases. Why should an emergency physician be aware of this?: These extreme and rare cases stress the importance of taking a thorough medical history and perform additional diagnostics for underlying causes for atypical fractures.