Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management
Concomitant ipsilateral fractures of the neck and shaft of femur are a rare occurrence in childhood. Only 14 cases have been reported to date, the most common fracture pattern being Delbet Type III and a spiral fracture of midshaft femur. A four-year-old boy presented with closed fracture shaft femu...
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doaj-825e512ab66c4e2b92ce63161cd103292020-11-25T02:04:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-09-01139RD01RD0210.7860/JCDR/2019/42177.13158Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative ManagementManoj Aggarwal0Kunal Kishore1Chirag Arora2Sanjay Pandey3Vishal Kumar4Consultant, Department of Orthopaedics, Gaurav Fracture Clinic, Patna, Bihar, India.Assistant Professor, Department of General Surgery, Narayan Medical College, Jamuhar, Bihar, India.Senior Resident, Department of Orthopaedics, PGIMER, Chandigarh, India.Associate Professor, Department of PMR, AIIMS, Patna, Bihar, India.Assistant Professor, Department of Orthopaedics, PGIMER, Chandigarh, India.Concomitant ipsilateral fractures of the neck and shaft of femur are a rare occurrence in childhood. Only 14 cases have been reported to date, the most common fracture pattern being Delbet Type III and a spiral fracture of midshaft femur. A four-year-old boy presented with closed fracture shaft femur and chest trauma (2-8th rib fractures right side with underlying haemopneumothorax), fracture neck femur was incidentally detected on pelvic radiographs. Initially, he was managed according to ATLS protocols, surgical management of lower limb was deferred till vitals stabilised. Later child was managed nonoperatively in view of persistent poor chest condition with one and half hip spica cast. Successful clinic-radiological union was noted at 24 months. We should have a high index of suspicion for proximal femur fractures especially in a child with multiple organ injuries.https://jcdr.net/articles/PDF/13158/42177_CE[Ra1]_F(SHU)_PF1(AJ_OM)_PN(SL).pdfcoxa varaneck femurpaediatric traumapolytrauma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manoj Aggarwal Kunal Kishore Chirag Arora Sanjay Pandey Vishal Kumar |
spellingShingle |
Manoj Aggarwal Kunal Kishore Chirag Arora Sanjay Pandey Vishal Kumar Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management Journal of Clinical and Diagnostic Research coxa vara neck femur paediatric trauma polytrauma |
author_facet |
Manoj Aggarwal Kunal Kishore Chirag Arora Sanjay Pandey Vishal Kumar |
author_sort |
Manoj Aggarwal |
title |
Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management |
title_short |
Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management |
title_full |
Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management |
title_fullStr |
Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management |
title_full_unstemmed |
Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative Management |
title_sort |
ipsilateral femoral neck and shaft femur fracture in a child: nonoperative management |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2019-09-01 |
description |
Concomitant ipsilateral fractures of the neck and shaft of femur are a rare occurrence in childhood. Only 14 cases have been reported to date, the most common fracture pattern being Delbet Type III and a spiral fracture of midshaft femur. A four-year-old boy presented with closed fracture shaft femur and chest trauma (2-8th rib fractures right side with underlying haemopneumothorax), fracture neck femur was incidentally detected on pelvic radiographs. Initially, he was managed according to ATLS protocols, surgical management of lower limb was deferred till vitals stabilised. Later child was managed nonoperatively in view of persistent poor chest condition with one and half hip spica cast. Successful clinic-radiological union was noted at 24 months. We should have a high index of suspicion for proximal femur fractures especially in a child with multiple organ injuries. |
topic |
coxa vara neck femur paediatric trauma polytrauma |
url |
https://jcdr.net/articles/PDF/13158/42177_CE[Ra1]_F(SHU)_PF1(AJ_OM)_PN(SL).pdf |
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