PDF(Pubmed)
Abstract：
UNASSIGNED: Fragility femoral neck fractures are traditionally seen in elderly patients after a low-energy fall. In contrast, displaced femoral neck fractures in young patients are usually associated with high-energy mechanisms such as a fall from height or high-speed motor vehicle collisions. However, patients under the age of 45 with fragility femoral neck fractures represent a unique population, and one that is not well-described. This study aims to describe this population and their current workup.
UNASSIGNED: A single institution retrospective chart review of patients who underwent open reduction internal fixation or percutaneous pinning of femoral neck fractures from 2010-2020 was conducted. Inclusion criteria were patients 16-45 years old and femoral neck fractures with a low-energy mechanism of injury (MOI). Exclusion criteria were high-energy fractures, pathologic fractures, and stress fractures. Patient demographics, MOI, past medical history, imaging studies, treatment plan, lab values, DEXA results, and surgical outcomes were recorded.
UNASSIGNED: The average age in our cohort was 33 ± 8.5 y/o. 44% (12/27) were male. Vitamin D level was obtained in 78% (21/27) patients and 71% (15/21) those patients were found to be abnormally low. A DEXA scan was obtained in 48% (13/27) of patients and abnormal bone density was found in 90% (9/10) of available results. 41% (11/27) patients received a bone health consultation.
UNASSIGNED: A significant portion of femoral neck fractures in young patients were fragility fractures. Many of these patients did not receive bone health workup and their underlying health condition remained untreated. Our study highlighted a missed opportunity of treatment for this unique and poorly understood population. Level of Evidence: III.
UNASSIGNED: A single institution retrospective chart review of patients who underwent open reduction internal fixation or percutaneous pinning of femoral neck fractures from 2010-2020 was conducted. Inclusion criteria were patients 16-45 years old and femoral neck fractures with a low-energy mechanism of injury (MOI). Exclusion criteria were high-energy fractures, pathologic fractures, and stress fractures. Patient demographics, MOI, past medical history, imaging studies, treatment plan, lab values, DEXA results, and surgical outcomes were recorded.
UNASSIGNED: The average age in our cohort was 33 ± 8.5 y/o. 44% (12/27) were male. Vitamin D level was obtained in 78% (21/27) patients and 71% (15/21) those patients were found to be abnormally low. A DEXA scan was obtained in 48% (13/27) of patients and abnormal bone density was found in 90% (9/10) of available results. 41% (11/27) patients received a bone health consultation.
UNASSIGNED: A significant portion of femoral neck fractures in young patients were fragility fractures. Many of these patients did not receive bone health workup and their underlying health condition remained untreated. Our study highlighted a missed opportunity of treatment for this unique and poorly understood population. Level of Evidence: III.
摘要：
■脆性股骨颈骨折传统上见于低能量跌倒后的老年患者。相比之下,年轻患者移位的股骨颈骨折通常与高能机制有关，例如从高处坠落或高速机动车碰撞。然而,45岁以下脆性股骨颈骨折患者代表了一个独特的人群，一个没有很好的描述。这项研究旨在描述这个人群和他们目前的工作。
■对2010-2020年进行股骨颈骨折切开复位内固定或经皮钉扎的患者进行了单机构回顾性图表审查。纳入标准为16-45岁的患者和具有低能量损伤机制（MOI）的股骨颈骨折。排除标准是高能裂缝，病理性骨折,和应力性骨折。患者人口统计学，MOI,既往病史,影像学检查,治疗计划,实验室值,DEXA结果，并记录手术结果.
■我们队列的平均年龄为33±8.5岁。44%(12/27)为男性。78％（21/27）的患者获得了维生素D水平，而71％（15/21）的患者被发现异常低。在48％（13/27）的患者中获得了DEXA扫描，并且在90％（9/10）的可用结果中发现了异常的骨密度。41%(11/27)的患者接受了骨健康咨询。
■年轻患者股骨颈骨折的重要部分是脆性骨折。这些患者中的许多人没有接受骨骼健康检查，他们的潜在健康状况仍未得到治疗。我们的研究强调了这个独特且鲜为人知的人群的治疗机会。证据等级：III。
■对2010-2020年进行股骨颈骨折切开复位内固定或经皮钉扎的患者进行了单机构回顾性图表审查。纳入标准为16-45岁的患者和具有低能量损伤机制（MOI）的股骨颈骨折。排除标准是高能裂缝，病理性骨折,和应力性骨折。患者人口统计学，MOI,既往病史,影像学检查,治疗计划,实验室值,DEXA结果，并记录手术结果.
■我们队列的平均年龄为33±8.5岁。44%(12/27)为男性。78％（21/27）的患者获得了维生素D水平，而71％（15/21）的患者被发现异常低。在48％（13/27）的患者中获得了DEXA扫描，并且在90％（9/10）的可用结果中发现了异常的骨密度。41%(11/27)的患者接受了骨健康咨询。
■年轻患者股骨颈骨折的重要部分是脆性骨折。这些患者中的许多人没有接受骨骼健康检查，他们的潜在健康状况仍未得到治疗。我们的研究强调了这个独特且鲜为人知的人群的治疗机会。证据等级：III。
