PDF(Pubmed)
Abstract：
Hip fractures in the young, healthy population are rare and often the result of high-energy trauma. A previously healthy 17-year-old patient presented to our institution with a 5-week history of left hip and knee pain in the absence of any trauma. Pelvic radiograph revealed a subacute left femoral neck fracture. He subsequently underwent surgical fixation and made an uneventful recovery. Further endocrine evaluation revealed isolated vitamin D deficiency to be the likely underlying cause for this fracture. Multiple previous opportunities were missed to identify the cause for this patient\'s symptoms. An intracapsular fracture in a young adult requires early recognition and prompt anatomical reduction. This case emphasises the need to maintain a high index of suspicion for atraumatic fractures in healthy adolescents with unexplained joint pain. Further endocrine and metabolic investigations are warranted, and isolated vitamin D deficiency must be considered as a potential causative factor.
摘要：
年轻人的髋部骨折，健康人群很少见，通常是高能创伤的结果。一位先前健康的17岁患者在没有任何创伤的情况下出现了5周的左髋和膝关节疼痛病史。盆腔X光片显示亚急性左股骨颈骨折。随后，他接受了手术固定，并顺利康复。进一步的内分泌评估显示，孤立的维生素D缺乏可能是这种骨折的潜在原因。错过了多次先前的机会来确定该患者症状的原因。年轻成年人的囊内骨折需要早期识别并迅速解剖复位。此病例强调，对于患有无法解释的关节痛的健康青少年，需要保持对无创伤骨折的高怀疑指数。需要进一步的内分泌和代谢研究，和孤立的维生素D缺乏必须被认为是一个潜在的致病因素。
