Bilateral midshaft femoral fractures in an adolescent baseball player

Ju, Derek G; Mogayzel, PJ; Sponseller, Paul D.; Familiari, Filippo; McFarland, Edward G.

doi:10.1016/j.jcf.2016.02.001

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Notably, one case report described a femur fracture in an adolescent male baseball player who was running and had no associated trauma. In this instance, the femur fracture healed after treatment with an intramedullary nail; however, the patient then had an atraumatic contralateral femur fracture months later that was treated in the same manner [41]. There have also been reports of a unilateral femoral neck fracture in a 25-year-old male without associated trauma and bilateral femoral neck fractures in a 34-year-old male after a grand mal seizure [42,43].…”

Section: Predisposition To Appendicular Skeletal Fractures: Fracture ...mentioning

confidence: 86%

Musculoskeletal Abnormalities Caused by Cystic Fibrosis

Lambrechts¹

2023

Advances in Skeletal Muscle Health and Disease

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Cystic Fibrosis (CF) can affect all organs of the human body including the musculoskeletal system. Although the musculoskeletal aspects of CF are less commonly studied, fractures (predominantly spinal), muscle injuries, and joint pain are more commonly seen in the CF population compared to the general public due to their lower bone mineral density, dysfunctional skeletal muscle, and elevated levels of pro-inflammatory cytokines. Additionally, due to elevated levels of inflammation in the CF population diagnosis of musculoskeletal injuries can be difficult to pinpoint. As treatment for CF evolves, an increased understanding of how CF affects the musculoskeletal system is imperative. We will discuss the orthopedic aspects of CF and provide potential insights into the future direction of orthopedic care in the CF population.

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Section: Predisposition To Appendicular Skeletal Fractures: Fracture ...mentioning

confidence: 86%

Musculoskeletal Abnormalities Caused by Cystic Fibrosis

Lambrechts¹

2023

Advances in Skeletal Muscle Health and Disease

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“…These injuries are usually caused by high-energy trauma, such as motor vehicle accidents or falls. 23 Cases of low energy fractures are rare and may be related to endocrine and metabolic disorders. 22 In contrast to the adult population, most femoral fractures in children are diaphyseal, followed by distal and proximal fractures.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the temporal trend of locomotor system injuries in the pediatric population caused by traffic accidents in Brazil

de Oliveira,

Cicuto,

Jorge

et al. 2024

MOJFPT

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Goal: to analyze the temporal trend and factors associated with locomotor system injuries in the pediatric population by traffic accidents in Brazil, through epidemiological, statistical and bibliographic evaluation. Methods: It is an epidemiological, retrospective, qualitative/quantitative study with secondary data analysis and cross-sectional typology in the public databases of the Brazilian Ministry of Labor and Social Security, made available by the Federal Government. Health sciences descriptors: "musculoskeletal injuries", "multiple trauma", "traffic accidents" and "pediatrics". Results: Between 2013 and 2022, 358.821 cases of children and teenagers with injuries of the locomotor system caused by traffic accidents were registered. Motorcycle accidents were the main responsible for this scenario (42.2%). Conclusion: Musculoskeletal injuries caused by traffic accidents in children are important causes of morbidity and mortality. In this context, the insertion of public policies directed to the awareness of the population about the seriousness of the case and the exposure of data such the ones in this study, can provide improvement of this scenario.

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“…For ages 13–15, fractures occur as passengers are involved in road traffic accidents [ 2 ]. Low-energy fractures are rare and are usually due to genetic, metabolic, or endocrine disorders [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Femoral Shaft Fractures in a Young Child due to Nonaccidental Trauma: A Case Report and Literature Review

Padgett¹,

Kothari²,

Williams³

2023

JOCR

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Introduction: Bilateral femoral diaphyseal fractures in children due to nonaccidental trauma (NAT) are a rare occurrence, with no reported cases currently published in the literature. The authors present a case of an 8-month-old male who presented with bilateral femoral shaft fractures. History, physical examination, and radiographic findings support NAT as the cause of his injuries. Due to the patient’s size and associated comorbidities, he was initially treated with Pavlik harness placement, rather than spica casting. The patient demonstrated appropriate radiographic evidence of fracture healing on follow-up. Case Report: An 8-month-old male with a complex past medical history presents to the emergency department. Per the patient’s mother, he has been demonstrating a progressive loss of movement and refusal to bear weight in his bilateral lower extremities over the preceding 1–2 weeks. Other injuries include facial bruising and lesions indicative of subconjunctival hemorrhages. After orthopedics was consulted, the decision was made to treat the patient’s bilateral femoral shaft fractures with a Pavlik harness, rather than spica casting, due to his small size and associated past medical history. The patient was subsequently discharged under foster care. Follow-up visit demonstrates appropriate fracture healing in the bilateral femoral diaphyses. Conclusion: Many cases of NAT in the pediatric population are initially missed. Orthopedic providers must maintain a high index of suspicion for NAT as many of these patients will present with musculoskeletal injuries. The authors report a rare case of NAT in a male child resulting in bilateral femoral diaphyseal fractures. The patient was successfully treated through Pavlik harness placement. Orthopedic providers should consider Pavlik harness placement as a viable option even for young children >6 months of age presenting with femoral shaft fractures if spica casting or open reduction internal fixation is not appropriate. Keywords: Femoral fracture, nonaccidental trauma, pediatric.

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Bilateral midshaft femoral fractures in an adolescent baseball player

Cited by 6 publications

References 10 publications

Musculoskeletal Abnormalities Caused by Cystic Fibrosis

Musculoskeletal Abnormalities Caused by Cystic Fibrosis

Analysis of the temporal trend of locomotor system injuries in the pediatric population caused by traffic accidents in Brazil

Bilateral Femoral Shaft Fractures in a Young Child due to Nonaccidental Trauma: A Case Report and Literature Review

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