Non-traumatic, bilateral subcapital femoral fractures postpartum

Abstract

A 28-year-old Romanian woman, presented 2 weeks postnatally with pain in her left hip. Plain radiography suggested a left intracapsular, subcapital hip fracture. A CT scan of the pelvis showed diffuse osteopaenia with bilateral subcapital fractures of both femurs. From this imaging and subsequent investigation, a diagnosis of transient osteoporosis of pregnancy was made. The patient was treated with a closed reduction and cannulated screw fixation. Rehabilitative treatment, vitamin D, calcium and bisphosphonate therapy were initiated. She remains under close follow-up from orthopaedic, rheumatological and endocrine teams. Multiple opportunities were missed to identify the source of the patient's pain and inability to weight bear. Early detection and management of this condition is crucial because of the associated morbidity, including debilitating pain, reduced mobility, fractures and avascular necrosis. Cessation of breastfeeding, adequate pain relief, early use of bisphosphonates and rehabilitative treatment are essential.

Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report

“…The few cases of bilateral femoral neck fractures that have been reported in the elderly were associated with convulsive seizures [6][7][8][9][10], vitamin D deficiencies [11], fluoride treatment for osteoporosis [12], steroid treatment [13], celiac disease [14], mechanical stress [15,16], minimal traumas after a simple fall [17], and spontaneous fractures [18]. Several case reports were depicted among young patients, in which the bilateral femur fractures were associated with seizures [19][20][21][22], pharmaco-convulsive treatments [23], high-energy traumas [24], bone-related disorders [12,25,26], and electrical shock injuries [27][28][29]. Some of these cases were secondary to hypocalcaemic convulsions related to chronic renal failure [30,31].…”

“…transferring, continence, feeding) but was able to move independently at home. She had no history of cognitive decline, and her mini-mental state examination [5] score was 26/30 (normal range [24][25][26][27][28][29][30]. The patient's blood examinations confirmed the ESRD (serum creatinine = 5.7 mg/dL, urea = 72 mg/dL) and also revealed anemia (Hemoglobin = 10.7 g/dL, Hematocrit = 34.5 %), perhaps compatible with chronic renal failure.…”

Undesired effect of excessive betamethasone administration during pregnancy: A rare case

“…Pregnancy-associated osteoporosis is a rarely observed skeletal pathology, which might lead to the fractures of femur before and after delivery ( 4 ). Femoral venous stasis due to pressure from the pregnant uterus, marrow hypertrophy, immobilization and the pressure of the pregnant uterus on the obturator nerve is the possible causes ( 2 ).…”

Simultaneous bilateral femoral neck fractures in a dialysis-dependent patient: case report and literature review

“…The incidence of hip fracture in dialysis patients is 4.4 times higher than that of the general population [2], and its incidence is 29.3 / 1000 people / year [3]. However, simultaneous bilateral femoral neck fractures (SBFNFs) in patients on dialysis are extremely uncommon [4]. We report a rare case of SBFNFs in a middle-aged patient on dialysis and review SBFNFs in patients with CKD.…”