Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 4 Issue 1

Simultaneous Bilateral Femoral Neck and Proximal Humeral Fractures - Floating Members: A Case Report

Anderson Freitas1, Maxwell Oliveira1, Silvio L Macedo Neto1, Helio I Costa1, Diogo R Souto1, Laís Maria Pinto Almeida2, Fabrício Reichert Barin1* and Vincenzo Giordano3

1Instituto de Pesquisa e Ensino do Hospital Ortopédico e Medicina Especializada (IPE - HOME), Brasília Distrito Federal, Brazil
2Centro Universitário Tiradentes, Maceio/Alagoas, Brazil
3Orthopedics and Traumatology Service Nova Monteiro - Miguel Couto Municipal Hospital, Rio de Janeiro, Brazil

*Corresponding Author: Fabrício Reichert Barin, Instituto de Pesquisa e Ensino do Hospital Ortopédico e Medicina Especializada (IPE - HOME), Brasília Distrito Federal, Brazil.

Received: November 07, 2020; Published: November 27, 2020

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Abstract

  The first reports of simultaneous bilateral fractures of the femoral neck (BSFNF) and bilateral fractures and dislocations of the proximal humerus (BSPHFD), occurred in descriptions of complications in the treatment of psychiatric patients undergoing electroconvulsive therapy or by the use of drugs that induced seizures, since these caused strong muscle contractions, triggering, in some situations, simultaneous fractures.
  These injuries are also seen in patients with osteometabolic diseases and in cases of accidents with electrocution. In the literature, few cases of BSFNF or BSPH were observed and their association was not found The authors will report the case of a 66-year-old man weighing 154 Pounds (70 kg) with four simultaneous injuries, BSFNF and BSFNF after an episode of seizure, describing what could be the first case of non-traumatic dissociation of all four members, so that we could call floating members.
  The description of this case may guide future discussions about the need to perform diagnostic imaging of several joints in patients that are brought to the hospital after an episode of seizure, so that we can track more effectively the possibility of multiple fractures, as happened with the patient reported here.

Keywords: Humeral Fracture; Femoral Neck; Case Report; Bilateral

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Citation

Citation: Fabrício Reichert Barin., et al. “Simultaneous Bilateral Femoral Neck and Proximal Humeral Fractures - Floating Members: A Case Report".Acta Scientific Orthopaedics 4.1 (2020): 27-30.




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