Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Kwang Soon SongEun Seok Son

Abstract

Concomitant ipsilateral fractures of the neck and shaft of the femur in children are rare. The most recent report in this context found a total of only nine reported cases (<12 years of age) following a search of the indexed English literature. These injuries occur in children due to high-velocity trauma, and there is no generally accepted method of treatment. We report three additional cases from the literature and two cases of our own. In our cases, one had a residual 10° varus deformity at the subtrochanteric level in the femur, but this did not affect hip function. Another patient exhibited a limp at final follow-up due to leg length discrepancy, and peroneal nerve palsy at the time of injury. We advocate operative stabilization of the femoral shaft fracture first to reduce the risk of further displacement and simplify the subsequent reduction of the femoral neck. The series shows that these rare injuries have a poor prognosis, with high rates of incidence of avascular necrosis, coxa vara, and leg length discrepancy.

References

Jul 1, 1992·Journal of Pediatric Orthopedics·E ForlinK J Rhee
Aug 1, 1986·The Journal of Bone and Joint Surgery. British Volume·P C Leung, S F Lam
Apr 1, 1986·The Journal of Trauma·M F Swiontkowski, R A Winquist
Jan 1, 1982·Archives of Orthopaedic and Trauma Surgery·H J Hoekstra, B Binnendijk
Feb 1, 1994·The Journal of Bone and Joint Surgery. American Volume·L O Hughes, J H Beaty
Feb 12, 2002·The Journal of Bone and Joint Surgery. British Volume·J M FlynnR S Davidson
Aug 1, 1962·The Journal of Bone and Joint Surgery. British Volume·A H RATLIFF
Apr 12, 2008·The Journal of Trauma·Anil AgarwalDevi Sahay Meena

❮ Previous
Next ❯

Citations

Aug 22, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Clifford B Jones, J Brock Walker
May 20, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·C J E Watson, S J F Harper
Sep 2, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Won Chul ShinNam Hoon Moon
Jan 22, 2020·Journal of Orthopaedic Surgery and Research·Yao LuTeng Ma
Feb 12, 2021·Indian Journal of Orthopaedics·Jaswinder Singh, John Mukhopadhaya

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved