Concurrent two-sided femoral neck stress fracture (FNSK) is very rare in young patients. A limited number of cases have been reported in the literature. The majority of them are; soldiers, athletes, epileptic patients , and elderly/middle-aged patients with bone pathology. Our case differs from literature due to a concurrent bilateral femur neck fracture diagnosed late of a healthy young mine worker who is not an athlete.
This report aims to emphasize the challenge of diagnosing bilateral femoral neck fractures in young miners and demonstrating excellent healing (without avascular necrosis) of the head with stable fixation even though the critical period of 48 hours has been spent.
KAYNAKLAR
1. A Blecher. Uber den einfluss des parademarsches auf die entstehungder fussgeschwulst. Medizinische Klinik, 1905;1, pp. 305–306. https:// doi.org/10.1155/2015/306246
2. Cody JP, Evans KN, Kluk MW, Andersen RC. Occult femoral neck fracture associated with vitamin D deficiency diagnosed by MRI: case report.Mil Med. 2012;177:605-608. https://doi: 10.7205/milmed-d-11-00321
3. Shah H M, Grover A, Gadi D. Bilateral neck femur fracture following a generalized seizure - a rare case report. Archives of Bone and Joint Surgery. 2014;2(4):255–257.
4. Cagirmaz T, Yapici C, Orak M M, Guler O. Bilateral femoral neck fractures after an epileptic attack: a case report. International Journal of Surgery Case Reports 2015;6:107–110. https://doi: 10.1016/j.ijscr.2014.12.003
5. Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone, Joint Surg Am. 2008;90:2254–2266.
6. Kezunovic M, Bulatovic N, Kadic V. Bilateral subcapital femoral neck fracture in a 28 year old postpartum woman. Med Arch. 2017;71:151–153 https://doi:10.5455/medarh.2017.71.151-153
7. Wassilew GI, Heller MO, Janz V, Perka C, Müller M, Renner L. High prevalence of acetabular retroversion in asymptomatic adults: a 3D CT-based study. Bone Joint J. 2017;99:1584–1589. https://doi:10.1302/0301620X.99B12.37081
8. K Moerenhout at all, Total hip arthroplasty for bilateral femoral neck stress fracture:a case report and review of the literatüre. Hindawi Article ID 2720736 volume 2019.
9. O Nemoto, M Kawaguchi, T Katou. Simultaneous bilateral femoral neck stress fractures in a 24-year old male recruit: a case report. The West Indian Medical Journal, 2013;62, no. 6, 552–553.
10. L R Fullerton, Jr.H A Snowdy, Femoral neck stress fractures, The American Journal of Sports Medicine, 1988; 16, no. 4, pp. 365-377. https://dx.doi.org/10.1155/2015/306246
11. C Rogmark, M T Kristensen, B Viberg, S S Rönnquist, S Overgaard, H. Palm. Hip fractures in the non-elderly-who, why and whither? Injury, 2018;49, no. 8, pp. 1445–1450. https://doi.org/10.1016/j.injury.2018.06.028
12. S Henari, M Leonard, M Hamadto, D Cogley. Review of a single contemporary femoral neck fracture fixation method in young patients. Orthopedics, 2011;34, no. 3, pp. 171.
13. D S Bailie , D E Lamprecht. Bilateral femoral neck stress fractures in an adolescent male runner: a case report. The American Journal of Sports Medicine, 2001;29, no. 6, pp. 811–813.
14. K A Egol, K J Koval, F Kummer, V H Frankel. Stress fractures of the femoral neck. Clinical Orthopaedics and Related Research, 1998;348, pp. 72–78.
15. P F Rizzo, E S Gould, J P Lyden, S E Asnis. Diagnosis of occult fractures about the hip. Magnetic resonance imaging compared with bone-scanning. The Journal of Bone & Joint Surgery—American Volume, 1993;75, no. 3, pp. 395–401.
16. Wang J, Yang D, Yu Y, Shao G, Wang Q. Vitamin D and sunlight exposure in newly-diagnosed parkinson’s disease. Nutrients. 2016;8(3):142. https://doi:10.3390/nu8030142.
17. Palacios C, Gonzalez L. Is vitamin D deficiency a major global public health problem?. J Steroid Biochem Mol Biol.2014;144:138–145. https://doi:10.1016/j.jsbmb.2013.11.003
26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı
Genç hastalarda eş zamanlı iki taraflı femur boyun stres kırığı (FBSK) çok nadir görülür. Bununla ilgili literatürde sınırlı sayıda olgu bildirilmiştir. Bu olgular çoğunlukla yüksek fiziksel aktivite altında kalan askerler ve atletler, epilepsi gibi nöbet geçirenler, yaşlı veya metobolik kemik hastalığı olan orta yaş hastalardır. Bizim olgumuz sporcu olmayan sağlıklı genç bir maden işçisinin geç tanı konulan eş zamanlı bilateral FBSK nedeniyle literatürden farklıdır.
Bu olguyu genç maden işçilerindeki iki taraflı fFBSK' da, tanı koymanın zorluğunu ve acil müdahele süresi (24-48 saat) geçmiş olsa da, stabil kırık fiksasyonu ile femur başı avasküler nekrozu gelişmeden kırığın iyileşebileceğini vurgulamak için sunduk.
KAYNAKLAR
1. A Blecher. Uber den einfluss des parademarsches auf die entstehungder fussgeschwulst. Medizinische Klinik, 1905;1, pp. 305–306. https:// doi.org/10.1155/2015/306246
2. Cody JP, Evans KN, Kluk MW, Andersen RC. Occult femoral neck fracture associated with vitamin D deficiency diagnosed by MRI: case report.Mil Med. 2012;177:605-608. https://doi: 10.7205/milmed-d-11-00321
3. Shah H M, Grover A, Gadi D. Bilateral neck femur fracture following a generalized seizure - a rare case report. Archives of Bone and Joint Surgery. 2014;2(4):255–257.
4. Cagirmaz T, Yapici C, Orak M M, Guler O. Bilateral femoral neck fractures after an epileptic attack: a case report. International Journal of Surgery Case Reports 2015;6:107–110. https://doi: 10.1016/j.ijscr.2014.12.003
5. Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone, Joint Surg Am. 2008;90:2254–2266.
6. Kezunovic M, Bulatovic N, Kadic V. Bilateral subcapital femoral neck fracture in a 28 year old postpartum woman. Med Arch. 2017;71:151–153 https://doi:10.5455/medarh.2017.71.151-153
7. Wassilew GI, Heller MO, Janz V, Perka C, Müller M, Renner L. High prevalence of acetabular retroversion in asymptomatic adults: a 3D CT-based study. Bone Joint J. 2017;99:1584–1589. https://doi:10.1302/0301620X.99B12.37081
8. K Moerenhout at all, Total hip arthroplasty for bilateral femoral neck stress fracture:a case report and review of the literatüre. Hindawi Article ID 2720736 volume 2019.
9. O Nemoto, M Kawaguchi, T Katou. Simultaneous bilateral femoral neck stress fractures in a 24-year old male recruit: a case report. The West Indian Medical Journal, 2013;62, no. 6, 552–553.
10. L R Fullerton, Jr.H A Snowdy, Femoral neck stress fractures, The American Journal of Sports Medicine, 1988; 16, no. 4, pp. 365-377. https://dx.doi.org/10.1155/2015/306246
11. C Rogmark, M T Kristensen, B Viberg, S S Rönnquist, S Overgaard, H. Palm. Hip fractures in the non-elderly-who, why and whither? Injury, 2018;49, no. 8, pp. 1445–1450. https://doi.org/10.1016/j.injury.2018.06.028
12. S Henari, M Leonard, M Hamadto, D Cogley. Review of a single contemporary femoral neck fracture fixation method in young patients. Orthopedics, 2011;34, no. 3, pp. 171.
13. D S Bailie , D E Lamprecht. Bilateral femoral neck stress fractures in an adolescent male runner: a case report. The American Journal of Sports Medicine, 2001;29, no. 6, pp. 811–813.
14. K A Egol, K J Koval, F Kummer, V H Frankel. Stress fractures of the femoral neck. Clinical Orthopaedics and Related Research, 1998;348, pp. 72–78.
15. P F Rizzo, E S Gould, J P Lyden, S E Asnis. Diagnosis of occult fractures about the hip. Magnetic resonance imaging compared with bone-scanning. The Journal of Bone & Joint Surgery—American Volume, 1993;75, no. 3, pp. 395–401.
16. Wang J, Yang D, Yu Y, Shao G, Wang Q. Vitamin D and sunlight exposure in newly-diagnosed parkinson’s disease. Nutrients. 2016;8(3):142. https://doi:10.3390/nu8030142.
17. Palacios C, Gonzalez L. Is vitamin D deficiency a major global public health problem?. J Steroid Biochem Mol Biol.2014;144:138–145. https://doi:10.1016/j.jsbmb.2013.11.003
Saylık, M., & Gökkuş, K. (2021). 26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı. Pamukkale Medical Journal, 14(4), 916-920. https://doi.org/10.31362/patd.846177
AMA
Saylık M, Gökkuş K. 26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı. Pam Tıp Derg. Ekim 2021;14(4):916-920. doi:10.31362/patd.846177
Chicago
Saylık, Murat, ve Kemal Gökkuş. “26 yaşındaki Genç Maden işçisinde Eş Zamanlı Iki Taraflı Femur Boyun Stres kırığı”. Pamukkale Medical Journal 14, sy. 4 (Ekim 2021): 916-20. https://doi.org/10.31362/patd.846177.
EndNote
Saylık M, Gökkuş K (01 Ekim 2021) 26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı. Pamukkale Medical Journal 14 4 916–920.
IEEE
M. Saylık ve K. Gökkuş, “26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı”, Pam Tıp Derg, c. 14, sy. 4, ss. 916–920, 2021, doi: 10.31362/patd.846177.
ISNAD
Saylık, Murat - Gökkuş, Kemal. “26 yaşındaki Genç Maden işçisinde Eş Zamanlı Iki Taraflı Femur Boyun Stres kırığı”. Pamukkale Medical Journal 14/4 (Ekim 2021), 916-920. https://doi.org/10.31362/patd.846177.
JAMA
Saylık M, Gökkuş K. 26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı. Pam Tıp Derg. 2021;14:916–920.
MLA
Saylık, Murat ve Kemal Gökkuş. “26 yaşındaki Genç Maden işçisinde Eş Zamanlı Iki Taraflı Femur Boyun Stres kırığı”. Pamukkale Medical Journal, c. 14, sy. 4, 2021, ss. 916-20, doi:10.31362/patd.846177.
Vancouver
Saylık M, Gökkuş K. 26 yaşındaki genç maden işçisinde eş zamanlı iki taraflı femur boyun stres kırığı. Pam Tıp Derg. 2021;14(4):916-20.