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Disappearance of femoral head shortly after femoral neck fracture: a case report and literature review

Authors :
Hairui Liang
Beibei Chen
Siyu Duan
Lei Yang
Rongda Xu
He Zhang
Ming Sun
Xueting Zhou
Hanfei Liu
Hang Wen
Zhencun Cai
Source :
Journal of International Medical Research, Vol 52 (2024)
Publication Year :
2024
Publisher :
SAGE Publishing, 2024.

Abstract

This case report describes a woman in her 70s who presented with a 3-month history of hip pain and inability to walk. Upon admission, she was diagnosed with the extremely rare condition of complete femoral head disappearance. A comprehensive examination was conducted to determine the cause and devise an effective treatment strategy, taking the patient’s medical history into account. Through interdisciplinary discussions, occult infection and other potential causes were ruled out. The femoral head disappearance was ultimately determined to be due to wear, ischemia, and absorption following a fracture. After informing the patient of the diagnosis and treatment plan, total hip arthroplasty was proposed. This case highlights the rarity and severity of femoral head disappearance in patients with femoral neck fractures, emphasizing the effectiveness of total hip arthroplasty and appropriate joint prostheses in managing such cases. This case has significant implications for clinical diagnosis, treatment, and complication prevention. The report also discusses the causes of acquired femoral head disappearance, relevant diagnostic assessments, and alternative treatment options.

Subjects

Subjects :
Medicine (General)
R5-920

Details

Language :
English
ISSN :
14732300 and 03000605
Volume :
52
Database :
Directory of Open Access Journals
Journal :
Journal of International Medical Research
Publication Type :
Academic Journal
Accession number :
edsdoj.1de4cc20100748be8bc1a1d20e343afa
Document Type :
article
Full Text :
https://doi.org/10.1177/03000605241274524