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Surg Technol Int. 2019 May 15;34:421-424.

Bilateral Femoral Neck Fractures in a Middle-Aged Female After a Low-Energy Fall.

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Department of Orthopedics, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Department of Orthopedics, Methodist Hospital Division of Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Department of Orthopedics, Orthopedic Surgery Residency Program Chairman Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.



Bilateral hip fractures after low-energy mechanism are a rare phenomenon. Most published case reports include presentations of bilateral hip fractures in the elderly with low-energy mechanism. There is no report, to our knowledge, that illustrates this rare occurrence in middle-aged individuals after a low-energy fall from standing height.


We present a case of a 50-year-old female with history of cerebrovascular accident (CVA) who presented to our institution with bilateral valgus-impacted femoral neck fractures after a mechanical fall from standing height. The patient underwent successful in-situ percutaneous screw placement in bilateral hips.


Although patient age is an obvious risk factor, middle-aged individuals with a medical history affecting bone mineral content may also be prone to bilateral insufficiency fractures. Individuals complaining of joint pain (with a history of conditions including renal failure, obesity, endocrinopathies, etc.) should have advanced imaging, if screening plain radiographs are negative, in an effort to identify occult fractures.

[Indexed for MEDLINE]

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