PDF(Pubmed)
Abstract：
UNASSIGNED: Spontaneous femur neck fracture is rare, especially when they occur bilaterally. Renal osteodystrophy is among the causes of these fractures that should be kept in mind. We report a case of a young female who presented with bilateral hip pain and was found to have bilateral femur neck fracture due to renal osteodystrophy. This was the first presentation of an undiagnosed end-stage kidney disease. This case report aims to highlight the importance of investigating the cause of these rare fractures in young patients and discuss available surgical options.
UNASSIGNED: A 19-year-old female presented complaining of bilateral hip pain. On physical examination, there was tenderness on palpation of both thighs. Her workup was significant for anemia, a high level of creatinine, hypocalcemia, elevated alkaline phosphatase, and parathyroid hormone. A pelvis radiograph showed bilateral femur neck fracture. Considering her very young age, the metabolic derangements she had and to avoid exposing her to a major surgery, we treated her fractures by fixation using three cannulated screws on each side. We aimed to report this case as it is an unusual presentation of a previously undetected stage 5 chronic kidney disease (CKD) in a very young patient.
UNASSIGNED: Renal osteodystrophy due to CKD can present with spontaneous bilateral femur neck fracture. Physicians should have a high index of suspicion for this condition not to miss a chronic disease with multiple sequelae. Furthermore, these fractures carry a high risk of complications and mortality, so they should be addressed promptly.
UNASSIGNED: A 19-year-old female presented complaining of bilateral hip pain. On physical examination, there was tenderness on palpation of both thighs. Her workup was significant for anemia, a high level of creatinine, hypocalcemia, elevated alkaline phosphatase, and parathyroid hormone. A pelvis radiograph showed bilateral femur neck fracture. Considering her very young age, the metabolic derangements she had and to avoid exposing her to a major surgery, we treated her fractures by fixation using three cannulated screws on each side. We aimed to report this case as it is an unusual presentation of a previously undetected stage 5 chronic kidney disease (CKD) in a very young patient.
UNASSIGNED: Renal osteodystrophy due to CKD can present with spontaneous bilateral femur neck fracture. Physicians should have a high index of suspicion for this condition not to miss a chronic disease with multiple sequelae. Furthermore, these fractures carry a high risk of complications and mortality, so they should be addressed promptly.
摘要：
■自发性股骨颈骨折是罕见的，尤其是当它们在双边发生时。肾性骨营养不良是这些骨折的原因之一，应牢记。我们报告了一例年轻女性，该女性患有双侧髋部疼痛，并因肾性骨营养不良而发现双侧股骨颈骨折。这是首次出现未确诊的终末期肾病。此病例报告旨在强调调查年轻患者中这些罕见骨折的原因并讨论可用的手术选择的重要性。
■一名19岁女性主诉双侧髋部疼痛。在体检时，两个大腿触诊时都有压痛。她的检查对贫血很重要，高水平的肌酐,低钙血症,碱性磷酸酶升高，和甲状旁腺激素.骨盆X光片显示双侧股骨颈骨折。考虑到她很小的年龄，她的代谢紊乱，为了避免让她接受大手术，我们用两侧三颗空心螺钉固定治疗她的骨折。我们的目的是报告这种情况，因为这是一个非常年轻的患者中以前未发现的5期慢性肾脏疾病（CKD）的不寻常表现。
■CKD引起的肾性骨营养不良可表现为自发性双侧股骨颈骨折。医生应该高度怀疑这种情况，不要错过具有多种后遗症的慢性疾病。此外，这些骨折有很高的并发症和死亡风险，所以应该及时解决。
■一名19岁女性主诉双侧髋部疼痛。在体检时，两个大腿触诊时都有压痛。她的检查对贫血很重要，高水平的肌酐,低钙血症,碱性磷酸酶升高，和甲状旁腺激素.骨盆X光片显示双侧股骨颈骨折。考虑到她很小的年龄，她的代谢紊乱，为了避免让她接受大手术，我们用两侧三颗空心螺钉固定治疗她的骨折。我们的目的是报告这种情况，因为这是一个非常年轻的患者中以前未发现的5期慢性肾脏疾病（CKD）的不寻常表现。
■CKD引起的肾性骨营养不良可表现为自发性双侧股骨颈骨折。医生应该高度怀疑这种情况，不要错过具有多种后遗症的慢性疾病。此外，这些骨折有很高的并发症和死亡风险，所以应该及时解决。
