Journal List > J Korean Fract Soc > v.25(1) > 1037908

Lee, Song, Jeon, and Hong: Simultaneous Bilateral Proximal Femoral Fracture associated with Generalized Tonic-Clonic Seizure - A Case Report -

Abstract

Simultaneous bilateral proximal femoral fractures are extremely rare, and a few have been reported in and outside the country. It may have various causes, and most cases were associated with major trauma, repetitive minor trauma, seizure, parathyroid or renal dysfunction, and anti-epileptic medications. We experienced a case of simultaneous bilateral proximal femoral fractures after generalized tonic-clonic seizure in a 70-year-old female. Herein, we report it with a review of the literature.

Figures and Tables

Fig. 1
Preoperative radiograph of both hip shows neck fracture of the left femur and intertrochanteric fracture of the right femur.
jkfs-25-69-g001
Fig. 2
MRI and CT shows fracture of the acetabulum and femoral head.
jkfs-25-69-g002
Fig. 3
(A~C) Immidiatly postoperative radiograph shows: The left femur neck fracture are replaced non-cemented bipolar hemiarthroplasty. The right femur intertrochanteric fracture are reduced and stabilized with compressive hip screw.
jkfs-25-69-g003
Fig. 4
Postoperative radiograph of the both hip 3 months after operation.
jkfs-25-69-g004

References

1. Chen CE, Kao CL, Wang CJ. Bilateral pathological femoral neck fractures secondary to ectopic parathyroid adenoma. Arch Orthop Trauma Surg. 1998. 118:164–166.
2. Finelli PF, Cardi JK. Seizure as a cause of fracture. Neurology. 1989. 39:858–860.
3. Haronian E, Silver JW, Mesa J. Simultaneous bilateral femoral neck fracture and greater tuberosity shoulder fracture resulting from seizure. Orthopedics. 2002. 25:757–758.
4. Madhok R, Rand JA. Ten-year follow-up study of missed, simultaneous, bilateral femoral-neck fractures treated by bipolar arthroplasties in a patient with chronic renal failure. Clin Orthop Relat Res. 1993. 291:185–187.
5. Pearson JR, Hargadon EJ. Fractures of the pelvis involving the floor of the acetabulum. J Bone Joint Surg Br. 1962. 44:550–561.
crossref
6. Rahman MM, Awada A. Bilateral simultaneous hip fractures secondary to an epileptic seizure. Saudi Med J. 2003. 24:1261–1263.
crossref
7. Remec PT, Evarts CM. Bilateral central dislocation of the hip. A case report. Clin Orthop Relat Res. 1983. 181:118–120.
crossref
8. Shaheen MA, Sabet NA. Bilateral simultaneous fracture of the femoral neck following electrical shock. Injury. 1984. 16:13–14.
crossref
9. Souverein PC, Webb DJ, Petri H, Weil J, Van Staa TP, Egberts T. Incidence of fractures among epilepsy patients: a population-based retrospective cohort study in the General Practice Research Database. Epilepsia. 2005. 46:304–310.
crossref
10. Vasconcelos D. Compression fractures of the vertebrae during major epileptic seizures. Epilepsia. 1973. 14:323–328.
crossref
TOOLS
Similar articles