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Review
. 2008 Aug;466(8):2002-8.
doi: 10.1007/s11999-008-0256-x. Epub 2008 Apr 23.

Case reports: treatment of subtrochanteric and ipsilateral femoral neck fractures in an adult with osteopetrosis

Patrick Birmingham  1 , Kathleen A McHale
Affiliations
Review

Case reports: treatment of subtrochanteric and ipsilateral femoral neck fractures in an adult with osteopetrosis

Patrick Birmingham et al. Clin Orthop Relat Res. 2008 Aug.

Abstract

We describe a patient with autosomal-dominant osteopetrosis, a subtrochanteric fracture, and an ipsilateral femoral neck fracture treated with a hip spica cast Although the fracture united with coxa vara and external rotation deformities, the patient successfully returned to his normal activities of daily living. Operative fracture treatment in patients with osteopetrosis is difficult, and our patient provides evidence that with nonoperative treatment these patients can return to a functional level when operative treatment is not an option.

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Figures

Fig. 1
Fig. 1
An anteroposterior view of the pelvis obtained at the time of injury shows a displaced subtrochanteric fracture and osteosclerotic appearance of the osteopetrotic bone.
Fig. 2
Fig. 2
A CT scan of the left hip and femoral neck shows a nondisplaced fracture of the femoral neck.
Fig. 3
Fig. 3
A CT scan obtained 5 months after spica cast placement shows the healed left femoral neck fracture.
Fig. 4
Fig. 4
An anteroposterior view of the pelvis obtained two and one-half years after the initial injury shows a healed left subtrochanteric fracture with coxa vara and external rotation deformities.
See this image and copyright information in PMC

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1002/(SICI)1097-4652(199808)176:2<323::AID-JCP10>3.0.CO;2-4', 'is_inner': False, 'url': 'https://doi.org/10.1002/(sici)1097-4652(199808)176:2<323::aid-jcp10>3.0.co;2-4'}, {'type': 'PubMed', 'value': '9648919', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9648919/'}]}
    2. Abboud SL, Woodruff KA, Choudhury GG. Retroviral-mediated gene transfer of CSF-1 into op/op stromal cells to correct defective in vitro osteoclastogenesis. J Cell Physiol. 1998;176:323–331. - PubMed
    1. None
    2. Albers-Schonberg H. Roentgenbilder einer seltenen Knochennerkrankung. Munch Med Wochenschr. 1904;51:365.
    1. None
    2. Alexander W. Report of a case of so-called “marble bones” with a review of the literature and translation of an article. AM J Roentgenol. 1923;10:280–301.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.2106/JBJS.D.02115', 'is_inner': False, 'url': 'https://doi.org/10.2106/jbjs.d.02115'}, {'type': 'PubMed', 'value': '15805200', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15805200/'}]}
    2. Alkhiary YM, Gerstenfeld LC, Krall E, Westmore M, Sato M, Mitlak BH, Einhorn TA. Enhancement of experimental fracture-healing by systemic administration of recombinant human parathyroid hormone (PTH 1–34). J Bone Joint Surg Am. 2005;87:731–741. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/00004694-199901000-00026', 'is_inner': False, 'url': 'https://doi.org/10.1097/00004694-199901000-00026'}, {'type': 'PubMed', 'value': '9890301', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9890301/'}]}
    2. Armstrong DG, Newfield JT, Gillespie R. Orthopedic management of osteopetrosis: results of a survey and review of the literature. J Pediatr Orthop. 1999;19:122–132. - PubMed