Pathological femoral neck fracture in a male patient due to non-simultaneous bilateral transient hip osteoporosis: A case report: Statements and Declarations |
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| Affiliation: | 1. Adult Hip and Knee Reconstructive Surgery, Division of Orthopaedic Surgery, Department of Surgery, Queen''s University & Kingston Health Sciences Centre, Kingston, Ontario, Canada, K7L 2V7;2. Hip Surgery Unit, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Buenos Aires, C1199ACK, Argentina;1. Hull University Teaching Hospitals NHS Trust, UK;2. Royal Derby Hospital, University Hospitals of Derby and Burton NHS Trust, UK;3. Wrexham Maelor Hospital, NHS Wales University Health Board, UK |
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| Abstract: | We report a case of a 31-year-old man who developed a non-simultaneous bilateral transient hip osteoporosis (THO) complicated with an atraumatic undisplaced pathological femoral neck fracture (FNF) of his left hip. He was successfully treated with internal fixation on the left hip, and a follow-up Magnetic Resonance Imaging evidenced satisfactory resolution on the right side. Diagnosis and management of THO are usually challenging as symptoms before pathological FNFs might be misdiagnosed. This case highlights the importance of suspecting pathological FNFs when pain persists despite conservative treatment. Finally, surgical treatment is strongly recommended if a pathological FNF is confirmed.Level of evidenceLevel IV. |
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| Keywords: | Hip Transient hip osteoporosis Femoral neck fracture Pathological fracture |
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