title: An unusual case of simultaneous bilateral neck of femur fracture following electrocution injury-A case report and review of literature.
abstract: BACKGROUND
  Simultaneous bilateral fractures of the neck of femur is rare. Hypocalcemia, epilepsy, osteoporosis and electrical injuries are known to cause similar injuries.
  
  
  METHODS
  We report a case of a 43-year-old male who sustained an electrical shock injury following which he fell from a height of around 4 feet. Radiological studies confirmed bilateral transcervical neck of femur fracture. Laboratory investigations revealed the patient had extremely low levels of vitamin D (11.1ng/ml). Patient was treated with three 6.5 mm cannulated cancellous screws on each side. Patient had good functional outcome at the end of one year.
  
  
  CONCLUSIONS
  We report this case as a rare etiological combination of hypovitaminosis D and electrical injury causing bilateral neck of femur fracture. Such injuries should be diagnosed at the earliest and goal of treatment should be to preserve both the hip joints. Early management would avoid potential complications like non-union and avascular necrosis.
authors.affiliation: Department of Orthopaedics, JSS Hospital, Mysore, India.
authors.forename: Supreeth
authors.initials: S
authors.lastname: Nekkanti
authors.affiliation: Department of Orthopaedics, JSS Hospital, Mysore, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: C
authors.affiliation: Department of Orthopaedics, JSS Hospital, Mysore, India.
authors.forename: Sujana Theja
authors.initials: ST
authors.lastname: Js
authors.affiliation: Department of Orthopaedics, JSS Hospital, Mysore, India.
authors.forename: RaviShankar
authors.initials: R
authors.lastname: R
authors.affiliation: Department of Orthopaedics, JSS Hospital, Mysore, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Raj
keywords: bilateral neck of femur fracture; electrocution injury; hypovitaminosis-D