![]() The patient was progressing well at her 2-week post-operative follow-up visit, however, 2 weeks subsequent to this visit (one month after her index surgery), she presented to the ED with atraumatic worsening severe lateral hip and groin pain. She underwent an uneventful open repair with a sliding hip screw (SHS) device (Figure 2). The patient was admitted to the orthopedic service, made non weightbearing on her left lower extremity, medically optimized for surgery, and was indicated for prophylactic stabilization of the incomplete stress fracture to allow for immediate weight bearing. She was able to straight leg raise and had no pain with axial loading of the hip.Īn anteroposterior (AP) radiograph of the pelvis obtained in the emergency department demonstrated a compression side stress fracture of the left femoral neck (Figure 1) with significant sclerosis around the stress fracture site on the inferomedial aspect of the femoral neck in the transcervical and basicervical regions. ![]() She reported moderate pain with external rotation about her hip. On physical exam, she was noted to have ecchymosis over her left buttock. She presented to the hospital shortly after and was evaluated by orthopedic surgery team. She noted an immediate grinding sensation in her left hip and a tremendous increase in pain. On the day of presentation, the patient was attempting to get up from a seated position and put her full weight on her left leg. She was able to ambulate after the fall but with significant pain and an inability to bear full weight on her left leg. The course was further complicated by another atraumatic peri-implant femoral neck fracture after which, the patient was definitely treated with a total hip arthroplasty.Ī 38-year old female with a history of gestational diabetes and obesity presented to the emergency department (ED) five days after a slip and fall from standing on the bathroom floor. Patient underwent surgical fixation with a sliding hip screw, the postoperative course of which was complicated by an atraumatic peri-implant greater trochanteric fracture, requiring surgery for open reduction and internal fixation. We present an atypical presentation of a non-displaced femoral neck fracture in a young adult after a fall from standing sustained 4 days prior to presentation. ![]() A Case of Two Consecutive Peri-Implant Fractures After Treatment of an Incomplete Stress Fracture of the Femoral Neck with a Sliding Hip Screw Device in a Young Adult A B S T R A C T ![]()
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