Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11111
Peer-review started: June 4, 2022
First decision: July 29, 2022
Revised: July 29, 2022
Accepted: September 20, 2022
Article in press: September 20, 2022
Published online: October 26, 2022
Processing time: 138 Days and 13.1 Hours
Spontaneous bilateral femur neck fracture is a rare entity in the general popu
A 17-year-old immobile, developmentally delayed male with the sequelae of cerebral palsy fractured both femoral necks during a grand mal epileptic seizure. He had been treated with valproic acid as an antiseizure medication for about 10 years; otherwise, he had no history of drug use. The laboratory analysis was normal except a marked vitamin D deficiency. Closed reduction and osteosynthesis with percutaneous cannulated screws were performed. Solid union was observed at 6 mo, and rapid postoperative rehabilitation was started.
A femoral neck fracture may occur in a person with epilepsy presenting with hip pain in the emergency department.
Core Tip: Spontaneous bilateral femoral neck fracture is a very rare entity and may develop in association with metabolic diseases, bone diseases, high-energy traumas, and epileptic seizures. It should be predicted that complications such as nonunion, loss of reduction, and avascular necrosis may develop secondary to these fractures, which are theoretically considered to be associated with metabolic diseases.