Femur Neck Fracture in a Patient with Stiff Person Syndrome
| Autor: | Sara Khan, Muhammad Saleem, Mujahid Jamil, Ahmed Abdul Habib, Muhammad Qahir |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Arthroplasty Replacement Hip Radiography Total hip replacement Stiff-Person Syndrome medicine Humans Orthopedics and Sports Medicine Femur neck fracture Femur fracture Groin medicine.diagnostic_test business.industry Immunoglobulins Intravenous Magnetic resonance imaging Right lower extremity Middle Aged musculoskeletal system equipment and supplies medicine.disease Femoral Neck Fractures Surgery body regions medicine.anatomical_structure business Stiff person syndrome |
| Zdroj: | JBJS Case Connector. 9:e0049-e0049 |
| ISSN: | 2160-3251 |
| DOI: | 10.2106/jbjs.cc.18.00049 |
| Popis: | CASE A 57-year-old man with a known case of stiff person syndrome (SPS) presented with an insidious-onset 3-month history of right groin pain and inability to bear weight on the right lower extremity. Radiographs demonstrated a displaced right neck of femur fracture. Pelvic magnetic resonance imaging was negative for any infective or neoplastic pathology. Right primary cementless total hip replacement was performed. Significant improvement in function was noted after surgery. CONCLUSIONS Femur neck fracture can result from severe muscle spasms and stiffness. Primary total hip replacement is a difficult but reasonable operative procedure for SPS with neck of femur fracture. The success of the procedure also depends on ideal medical control of muscle spasms and rigidity. |
| Databáze: | OpenAIRE |
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