A Rare Case of Femoral Column Fracture in Children with Closed Reduction and Spica Cast: A Case Report
Downloads
Background: Femoral column fracture is a rare case fracture in children. This is usually caused by high-energy trauma, such as falling from a height, or, in some cases, can also occur due to pathological fractures or repetitive trauma, such as running or jumping. Femoral column fractures can occure several complications, such as avascular necrosis (AVN), coxa vara, malunion, and osteonecrosis. Therefore, appropriate treatment is needed to reduce the risk of complications that may occur.
Case Presentation: A 15 year old boy came to the emergency room with complaints of pain in base of his right thigh after falling while jumping over a tennis net with focus on his right leg. On examination, vital signs were normal, pain in the right groin had limited range of motion (ROM), and no other injuries or pain were found in his parts of the body. Then treatment was carried out using the closed reduction method and the installation of a spica cast without internal fixation.
Conclusion: Although there is still a lot of controversy regarding the best time and method for administering therapy, determining the Delbet classification is very helpful as a consideration in choosing treatment and patient prognosis. In this case, treatment was given using close reduction and spica cast techniques with the consideration that anatomical reduction could be achieved.
Palocaren T. Femoral neck fractures in children: A review. Indian J Orthop. 2018;52(5):501.
Bimmel R, Bakker A, Bosma B, Michielsen J. Paediatric hip fractures: a systematic review of incidence, treatment options and complications. Acta Orthop Belg. 2010;76:7–13.
Patterson JT, Tangtiphaiboontana J, Pandya NK. Management of Pediatric Femoral Neck Fracture. J Am Acad Orthop Surg. 2018;26(12):411–9.
Wang WT, Li YQ, Guo YM, Li M, Mei HB, Shao JF, et al. Risk factors for the development of avascular necrosis after femoral neck fractures in children. Bone Jt J. 2019;101-B(9):1160–7.
Fallatah SM, Daghriri YA, Afifi AA, Alghamdi FA, Zein AF. A Rare Case of Femoral Neck Fracture in a Six-Year-Old Girl. Cureus. 2021;13(8):6–12.
Hoffmann C, Traldi E, Posser A. Epidemiological study of children diaphyseal femoral fractures. Rev Bras Ortop. 2012;47(2):186–190.
Salonen A, Laitakari E, Berg HE, Felländer-Tsai L, Mattila VM, Huttunen TT. Incidence of femoral fractures in children and adolescents in Finland and Sweden between 1998 and 2016: A binational population-based study. Scand J Surg. 2022;111(1).
Chen Y, Zhang X, Guo H, Liu N, Ren J, Lu C. Poor Outcomes of Children and Adolescents with Femoral Neck Fractures: A Meta-Analysis Based on Clinical Studies. Orthop Surg. 2020;(January):639–44.
Spence D, Di Mauro JP, Miller PE, Glotzbecker MP, Hedequist DJ, Shore BJ. Osteonecrosis After Femoral Neck Fractures in Children and Adolescents: Analysis of Risk Factors. J Pediatr Orthop. 2016;36(2):111–6.
Yeranosian M, Horneff JG, Baldwin K, Hosalkar HS. Factors affecting the outcome of fractures of the femoral neck in children and adolescents: A systematic review. J Bone Jt Surg - Ser B. 2013;95 B(1):135–42.
Wu C, Ning B, Xu P, Song J, Wang D. Efficacy and complications after delayed fixation of femoral neck fractures in children. J Orthop Surg. 2020;28(1):1–6.
Dai ZZ, Zhang ZQ, Ding J, Wu ZK, Yang X, Zhang ZM, et al. Analysis of risk factors for complications after femoral neck fracture in pediatric patients. J Orthop Surg Res. 2020;15(1):1–6.
Barreto Rocha DF, Horwitz DS, Sintenie JB. Femoral Neck Fractures in Children: Issues, Challenges, and Solutions. J Orthop Trauma. 2019;33(12):S27–32.
Medda S, Snoap T, Carroll EA. Treatment of Young Femoral Neck Fractures. J Orthop Trauma. 2019;33(1):S1–6.
Pinto DA, Aroojis A. Fractures of the Proximal Femur in Childhood: A Review. Indian J Orthop. 2021;55(1):23–34.
Varshney MK, Kumar A, Khan SA, Rastogi S. Functional and radiological outcome after delayed fixation of femoral neck fractures in pediatric patients. J Orthop Traumatol. 2009;10(4):211–6.
Ghaffari S, Razavipour M, Shayestehazar M, Ghadiri A. Case Report Femoral Neck Fracture in a Three-Year-Old Child; Case Report. Int J Med Invest. 2019;8(3):112–20.
Bali K, Sudesh P, Patel S, Kumar V, Saini U, Dhillon MS. Pediatric femoral neck fractures: Our 10 years of experience. Clin Orthop Surg. 2011;3(4):302–8.
AlKhatib N, Younis MH, Hegazy A, Ibrahim T. Early versus late treatment of paediatric femoral neck fractures: A systematic review and meta-analysis. Int Orthop. 2019;43(3):677–685.
Gopinathan N, Chouhan D, Akkina N, Behera P. Case report: Bilateral femoral neck fractures in a child and a rare complication of slipped capital epiphysis after internal fixation. Clin Orthop Relat Res. 2012;470(10):2941–5.
Bukva B, Abramović D, Vrgoč G, Marinović M, Bakota B, Dučić S, et al. Femoral neck fractures in children and the role of early hip decompression in final outcome. Injury. 2015;46:S44–S47.
All Content should be original and unpublished.
