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Failed Internal Fixation in Bilateral Femoral Neck Stress Fracture Salvaged with Total Hip Arthroplasty: A Report of Two Cases with Literature Review

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Abstract

Bilateral Femoral neck stress fractures (FNSFs) are rare without any underlying metabolic disease or repeated strenuous activities like athletes or military recruits. It constitutes about 5–8% of all stress fractures. Treatment options are still controversial. We report two young women with bilateral simultaneous FNSFs without any metabolic cause, presented to us following failed internal fixation with cancellous screws and neck resorption salvaged with total hip arthroplasty. Compression type stress fracture healed in the final follow-up on the other side.

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References

  1. Webber, B. J., Trueblood, W. E., Tchandja, J. N., Federinko, S. P., & Cropper, T. L. (2015). Concurrent bilateral femoral neck stress fractures in a military recruit: a case report. Military Medicine,180, e134–e137.

    Article  Google Scholar 

  2. Fullerton, L. R., & Snowdy, H. A. (1988). Femoral neck stress fractures. American Journal of Sports Medicine,16(4), 365–377.

    Article  Google Scholar 

  3. Khadabadi, N.A., & Patil, K.S. (2015). Simultaneous bilateral femoral neck stress fracture in a young stone mason. Case Reports in Orthopedics, 2015, 306246. https://doi.org/10.1155/2015/306246.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Santoso, A., Joo, S. D., Lee, D. H., Seol, Y. J., Park, K. S., & Yoon, T. R. (2017). bilateral femoral neck stress fracture presented with unilateral symptoms in a shipman laborer: a case report. Hip & Pelvis,29(1), 77–80.

    Article  Google Scholar 

  5. Lee, G. W., Park, K. S., Yoon, T. R., & Eshnazarovich, E. K. (2016). Bilateral femoral neck stress fracture in child: a case report. Hip & Pelvis,28(3), 169–172.

    Article  Google Scholar 

  6. Samarah, O. Q., & Tareef, T. M. (2016). Femur neck insufficiency fracture in an adolescent associated with vitamin D deficiency. Scientific Research and Essays,11(2), 18–22.

    Article  Google Scholar 

  7. Naik, M. A., Sujir, P., Tripathy, S. K., Vijayan, S., Hameed, S., & Rao, S. K. (2013). Bilateral stress fractures of femoral neck in non-athletes: a report of four cases. Chinese Journal of Traumatology,16(2), 113–117.

    PubMed  Google Scholar 

  8. Gurdezi, S., Trehan, R. K., & Rickman, M. (2008). Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use: a case report. Journal of Medical Case Reports,2(1), 79.

    Article  Google Scholar 

  9. Zuckerman, J. D., Shin, S. S., Polatsch, D. B., & Schweitzer, M. (2006). Concurrent bilateral femoral neck stress fractures and osteonecrosis of the hip: a case report. JBJS,88(4), 857–860.

    Google Scholar 

  10. Haddad, F. S., Mohanna, P. N., & Goddard, N. J. (1997). Bilateral femoral neck stress fractures following steroid treatment. Injury,28(9–10), 671–673.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, Ganga Hospital, 313, Mettupalayam road, Coimbatore, 641043, Tamil Nadu, India

    Natesan Rajkumar, Dhanasekaran Soundarrajan, Palanisami Dhanasekararaja & Shanmuganathan Rajasekaran

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  1. Natesan Rajkumar
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  2. Dhanasekaran Soundarrajan
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  3. Palanisami Dhanasekararaja
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  4. Shanmuganathan Rajasekaran
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Contributions

NR: contributor 1: concepts, design, definition of intellectual content, literature search, clinical studies, data analysis, manuscript editing, guarantor. DS: contributor 2: concepts, literature search, data acquisition, data analysis, manuscript preparation, manuscript editing, guarantor. PD: contributor 3: concepts, literature search, data analysis, manuscript editing, manuscript review guarantor. SR: contributor 4: literature search, data analysis, manuscript editing, manuscript review, guarantor.

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Correspondence to Natesan Rajkumar.

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All procedures performed in studies involving human participant were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Rajkumar, N., Soundarrajan, D., Dhanasekararaja, P. et al. Failed Internal Fixation in Bilateral Femoral Neck Stress Fracture Salvaged with Total Hip Arthroplasty: A Report of Two Cases with Literature Review. JOIO 54, 83–86 (2020). https://doi.org/10.1007/s43465-019-00030-4

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  • DOI: https://doi.org/10.1007/s43465-019-00030-4

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