title: Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review.
abstract: Concomitant ipsilateral fractures of the neck and shaft of the femur in children are rare. The most recent report in this context found a total of only nine reported cases (<12 years of age) following a search of the indexed English literature. These injuries occur in children due to high-velocity trauma, and there is no generally accepted method of treatment. We report three additional cases from the literature and two cases of our own. In our cases, one had a residual 10° varus deformity at the subtrochanteric level in the femur, but this did not affect hip function. Another patient exhibited a limp at final follow-up due to leg length discrepancy, and peroneal nerve palsy at the time of injury. We advocate operative stabilization of the femoral shaft fracture first to reduce the risk of further displacement and simplify the subsequent reduction of the femoral neck. The series shows that these rare injuries have a poor prognosis, with high rates of incidence of avascular necrosis, coxa vara, and leg length discrepancy.
authors.affiliation: Department of Orthopedic Surgery, Keimyung University, 194 Dondsandong, Joong-gu, Daegu 700-712, Korea. skspos@dsmc.or.kr
authors.forename: Kwang Soon
authors.initials: KS
authors.lastname: Song
authors.forename: Kirti
authors.initials: K
authors.lastname: Ramnani
authors.forename: Chul Hyun
authors.initials: CH
authors.lastname: Cho
authors.forename: Ki Cheor
authors.initials: KC
authors.lastname: Bae
authors.forename: Kyung Jae
authors.initials: KJ
authors.lastname: Lee
authors.forename: Eun Seok
authors.initials: ES
authors.lastname: Son
mesh_terms: D000063:Accidents, Traffic; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male; D019637:Orthopedic Procedures; D010543:Peroneal Nerve / Q000293:injuries; D011859:Radiography