Ipsilateral Femoral Neck and Shaft Femur Fracture in a Child: Nonoperative ManagementCorrespondence Address :
#C2/74; Ashok Vihar Phase II, Opp. Deep Market, New Delhi-110052, India.
Concomitant ipsilateral fractures of the neck and shaft of femur are a rare occurrence in childhood. Only 14 cases have been reported to date, the most common fracture pattern being Delbet Type III and a spiral fracture of midshaft femur. A four-year-old boy presented with closed fracture shaft femur and chest trauma (2-8th rib fractures right side with underlying haemopneumothorax), fracture neck femur was incidentally detected on pelvic radiographs. Initially, he was managed according to ATLS protocols, surgical management of lower limb was deferred till vitals stabilised. Later child was managed nonoperatively in view of persistent poor chest condition with one and half hip spica cast. Successful clinic-radiological union was noted at 24 months. We should have a high index of suspicion for proximal femur fractures especially in a child with multiple organ injuries.
Coxa vara, Neck femur, Paediatric trauma, Polytrauma
Manoj Aggarwal, Kunal Kishore, Chirag Arora, Sanjay Pandey, Vishal Kumar. IPSILATERAL FEMORAL NECK AND SHAFT FEMUR FRACTURE IN A CHILD: NONOPERATIVE MANAGEMENT. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Sep 16 ]; 13:RD01-RD02. Available from
Date of Submission: Jun 05, 2019
Date of Peer Review: Jun 22, 2019
Date of Acceptance: Jul 05, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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