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Báo cáo y học: " Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use: a case report | Journal of Medical Case Reports BioMed Central Open Access Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use a case report Sabahat Gurdezi 1 2 Ravi K Trehan1 2 and Mark Rickman1 2 Address Registrar Department of Trauma and Orthopaedics St Georges Hospital Blackshaw Rd London SW17 0QT UK and 2Study was carried out at St George s Hospital Tooting London UK Email Sabahat Gurdezi - sabahatg@hotmail.com Ravi KTrehan - trehanravi@hotmail.com Mark Rickman - markrickman@london-orthopaedics.com Corresponding author Published II March 2008 Received 12 July 2007 Journal of Medical Case Reports 2008 2 79 doi 10.1186 1752-1947-2-79 Accepted 11 March 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 79 2008 Gurdezi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We present an interesting and unusual case of a 61-year-old woman with bilateral undisplaced stress neck of femur fractures associated with short-term steroid use. Insufficiency fractures of the neck of femur without preceding trauma have been described in the literature although bilateral involvement is infrequent. These fractures have been associated with strenuous exercise seizures renal osteodystrophy fluoride treatment long-term corticosteroid use amenorrhoea abnormal anatomy and osteomalacia due to nutritional and or hormonal factors. Case Presentation The case we present differs from other published reports in that the patient s symptoms developed acutely after only a short course of steroids and with no associated trauma or strenuous exercise. It is also the only case described where no operative intervention was required. Conclusion Our case reiterates the .