Spontaneous bilateral neck of femur fractures and shoulder dislocation. 2011

Khurram Siddique, and Lambros Athanatos, and Philip Housden
Department of Trauma and Orthopaedics, East Kent Hospitals NHS Trust, Ashford, UK. khurram.siddique@doctors.net.uk

Non-traumatic fractures mostly present a diagnostic dilemma. Fracture risk is less reported in non-epileptic seizures. Various metabolic conditions leading to a decrease in bone mineral density may also cause fractures. The authors report the case of non-traumatic fracture of an old woman who presented with fever, shortness of breath and right shoulder pain without any history of epilepsy. Episode of seizures was noted prior to admission. The patient had poorly controlled diabetes mellitus and severe hypoglycaemia was noted at the time of admission. She was admitted to a medical ward for a severe chest infection. Non-traumatic fracture dislocation of the right shoulder was also noted upon admission and treated conservatively. Bilateral hip fractures were not diagnosed till the fourth day. Patient had multiple comorbidities making the management very difficult. Here the authors will discuss the possible aetiology of this pattern of pathologies and the multidisciplinary management of such a rare case in detail.

UI MeSH Term Description Entries
D005260 Female Females
D005265 Femoral Neck Fractures Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES. Femur Neck Fractures,Femoral Neck Fracture,Femur Neck Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012783 Shoulder Dislocation Displacement of the HUMERUS from the SCAPULA. Glenohumeral Dislocation,Glenohumeral Subluxation,Dislocation, Glenohumeral,Dislocation, Shoulder,Dislocations, Glenohumeral,Dislocations, Shoulder,Glenohumeral Dislocations,Glenohumeral Subluxations,Shoulder Dislocations,Subluxation, Glenohumeral,Subluxations, Glenohumeral

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