Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report

Geriatric Orthopaedic Surgery & Rehabilitation
Yuki SuzukiNorimasa Iwasaki

Abstract

The ongoing outbreak of novel coronavirus disease 2019 (COVID-19) is a worldwide problem. Although diagnosing COVID-19 in fracture patients is important for selecting treatment, diagnosing early asymptomatic COVID-19 is difficult. We describe herein a rare case of femoral intertrochanteric fracture concomitant with early asymptomatic novel COVID-19. An 87-year-old Japanese woman was transferred to our emergency room with a right hip pain after she fell. She had no fever, fatigue, or respiratory symptoms on admission and within the 14 days before presenting to our hospital, and no specific shadow was detected in chest X-ray. However, chest computed tomography (CT) was performed considering COVID-19 pandemic, and showed ground-glass opacities with consolidation in the dorsal segment of the right lower lung field. Then, qualitative real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) was carried out and turned out to be positive. She was diagnosed right femoral intertrochanteric fracture with concomitant COVID-19 infection. Conservative treatment was applied to the fracture due to infection. After admission, fever and oxygen demand occurred but she recovered from COVID-19. Throughout the treatment period, no cross-in...Continue Reading

References

Jan 15, 2014·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Joel J GagnierUNKNOWN CARE Group*
Feb 20, 2020·Radiology·Yicheng FangWenbin Ji
May 8, 2020·The Journal of Bone and Joint Surgery. American Volume·Bobin MiGuohui Liu
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Jul 18, 2020·The Journal of Bone and Joint Surgery. American Volume·J ParviziUNKNOWN International Consensus Group (ICM) and Research Committee of the American Association of Hip and Knee Surgeons (AAHKS)

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Citations

Feb 15, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shunsuke TakaharaToshihiko Harada

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