Disappearance of femoral head shortly after femoral neck fracture: a case report and literature review.

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Hairui Liang, Beibei Chen, Siyu Duan, Lei Yang, Rongda Xu, He Zhang, Ming Sun, Xueting Zhou, Hanfei Liu, Hang Wen, Zhencun Cai
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引用次数: 0

Abstract

This case report describes a woman in her 70s who presented with a 3-month history of hip pain and inability to walk. Upon admission, she was diagnosed with the extremely rare condition of complete femoral head disappearance. A comprehensive examination was conducted to determine the cause and devise an effective treatment strategy, taking the patient's medical history into account. Through interdisciplinary discussions, occult infection and other potential causes were ruled out. The femoral head disappearance was ultimately determined to be due to wear, ischemia, and absorption following a fracture. After informing the patient of the diagnosis and treatment plan, total hip arthroplasty was proposed. This case highlights the rarity and severity of femoral head disappearance in patients with femoral neck fractures, emphasizing the effectiveness of total hip arthroplasty and appropriate joint prostheses in managing such cases. This case has significant implications for clinical diagnosis, treatment, and complication prevention. The report also discusses the causes of acquired femoral head disappearance, relevant diagnostic assessments, and alternative treatment options.

股骨颈骨折后不久股骨头消失:病例报告和文献综述。
本病例报告描述了一名 70 多岁的妇女因髋部疼痛和无法行走 3 个月而就诊。入院后,她被诊断出患有极为罕见的股骨头完全消失症。医生根据患者的病史进行了全面检查,以确定病因并制定有效的治疗策略。通过跨学科讨论,排除了隐性感染和其他潜在病因。股骨头消失最终被确定为骨折后磨损、缺血和吸收所致。在告知患者诊断和治疗方案后,医生建议患者进行全髋关节置换术。本病例凸显了股骨颈骨折患者股骨头消失的罕见性和严重性,强调了全髋关节置换术和合适的关节假体在处理此类病例中的有效性。该病例对临床诊断、治疗和并发症预防具有重要意义。报告还讨论了获得性股骨头消失的原因、相关诊断评估和替代治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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