Bilateral Femoral Neck Fatigue Fracture due to Osteomalacia Secondary to Celiac Disease: Report of Three Cases.
Bilateral non traumatic femoral neck fatigue fracture is a rare condition usually occurring secondary to medical conditions such as pregnancy, pelvic irradiation, corticosteroid exposure, chronic renal failure and osteomalacia. In this report, we present three young female patients with bilateral femoral neck fracture secondary to osteomalacia. The underlying cause of osteomalacia was Celiac disease in all patients. The patients were treated with closed reduction and internal fixation with cannulated lag screws. They were free of pain and full weight bearing was achieved at three months. There were no complications, avascular necrosis and nonunion during the follow up period. In patients with bone pain, non traumatic fractures and muscle weakness, osteomalacia should be kept in mind and proper diagnostic work-up should be performed to identify the underlying cause of osteomalacia such as celiac disease.
Kocaeli University School of Medicine Department of Orthopaedics and Traumatology, Kocaeli, Turkey.
Ozgur
O
Selek
Kocaeli University School of Medicine Department of Orthopaedics and Traumatology, Kocaeli, Turkey.
Kaya
K
Memisoglu
Kocaeli University School of Medicine Department of Internal Medicine, Division of Endocrinology and Metabolism, Kocaeli, Turkey.
Alev
A
Selek
D000328:Adult; D002446:Celiac Disease / Q000150:complications*; D005260:Female; D005265:Femoral Neck Fractures / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005593:Fracture Fixation, Internal; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010018:Osteomalacia / Q000150:complications* / Q000209:etiology; D014808:Vitamin D Deficiency / Q000209:etiology