Skip to main content

Advertisement

SpringerLink
Log in

Femoroacetabular impingement inducing non-union of a femoral neck fracture: a case report

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

We describe a case in which femoroacetabular impingement (FAI) was identified as the cause of non-union of a femoral neck fracture and the subsequent treatment strategy.

Materials and methods

Retrospective review of a 35-year-old patient, without any risk factors for non-union, who sustained a femoral neck fracture. Pre-existing FAI was identified as the cause for the non-union of the femoral neck fracture, with successful treatment of the non-union according to established arthroscopic treatment of the hip.

Results

After treatment of the FAI, the non-union healed uneventfully within 3 months.

Conclusions

FAI may be a less common but potential cause of delayed union or non-union in the setting of femoral neck fracture in the young.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Protzman RR, Burkhalter WE (1976) Femoral-neck fractures in young adults. J Bone Joint Surg Am 58:689–695

    CAS  PubMed  Google Scholar 

  2. Dedrick DK, Mackenzie JR, Burney RE (1986) Complications of femoral neck fracture in young adults. J Trauma 26:932–937

    Article  CAS  PubMed  Google Scholar 

  3. Kofoed H (1982) Femoral neck fractures in young adults. Injury 14:146–150

    Article  CAS  PubMed  Google Scholar 

  4. Upadhyay A, Jain P, Mishra P et al (2004) Delayed internal fixation of fractures of the neck of the femur in young adults: a prospective, randomised study comparing closed and open reduction. J Bone Joint Surg Br 86:1035–1040

    Article  CAS  PubMed  Google Scholar 

  5. Barnes R, Brown JT, Garden RS et al (1976) Subcapital fractures of the femur. J Bone Joint Surg Br 58B:2–24

    Google Scholar 

  6. Alberts KA, Jervaeus J (1990) Factors predisposing to healing complications after internal fixation of femoral neck fracture. A stepwise logistic regression analysis. Clin Orthop 257:129–133

    PubMed  Google Scholar 

  7. Alho A, Benterud JG, Ronningen H et al (1992) Prediction of disturbed healing in femoral neck fracture. Radiographic analysis of 149 cases. Acta Orthop Scand 63:639–644

    CAS  PubMed  Google Scholar 

  8. Estrada LS, Volgas DA, Stannard JP et al (2002) Fixation failure in femoral neck fractures. Clin Orthop 399:110–118

    Article  PubMed  Google Scholar 

  9. Weinrobe M, Stankewich CJ, Mueller B et al (1998) Predicting the mechanical outcome of femoral neck fractures fixed with cancellous screws: an in vivo study. J Orthop Trauma 12:27–36

    Article  CAS  PubMed  Google Scholar 

  10. Garden RS (1961) Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br 43B:647–663

    Google Scholar 

  11. Byrd JWT (2005) Surgical Technique: supine position. Oper Tech Orthop 15:204–217

    Article  Google Scholar 

  12. Beck M, Leunig M, Clark E et al (2004) Femoroacetabular impingement as a factor in the development of non-union of the femoral neck: a report of three cases. J Orthop Trauma 18(7):425–430

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Orthopaedic Department, Balgrist Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland

    C. G. Lenz, P. O. Zingg & C. Dora

  2. Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA

    A. F. Kamath

Authors
  1. C. G. Lenz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. O. Zingg
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. F. Kamath
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Dora
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. G. Lenz.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lenz, C.G., Zingg, P.O., Kamath, A.F. et al. Femoroacetabular impingement inducing non-union of a femoral neck fracture: a case report. Arch Orthop Trauma Surg 135, 601–605 (2015). https://doi.org/10.1007/s00402-015-2186-x

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-015-2186-x

Keywords

Search

Navigation