A Rare Case Report of Bilateral Neck Femur Fractures following GTCS in Chronic Kidney Disease Patient
Vol 06 Issue 1 | January 2025 | page: 30-32| Akshaya Kumar Sahoo
DOI: https://doi.org/10.13107/ojot.2025.v06.i01.72
Received 16/04/2024; Reviewed 05/05/2024; Accepted 21/10/2024; Published 10/01/2025
Authors: Akshaya Kumar Sahoo [1]
[1] Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.
Address of Correspondence
Dr. Akshaya Kumar Sahoo,
Senior Consultant, Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.
E-mail: drakskp@gmail.com
Abstract
Introduction: Bilateral fractures of the femoral neck are extremely uncommon, especially as a consequence of generalized tonic-clonic seizures (GTCS). Such fractures typically occurs due to intense involuntary muscle contractions during seizures rather than from direct external trauma.
Fractures of the femoral neck most commonly arise from high-energy trauma in younger individuals or trivial falls in elderly patients with osteoporosis. Bilateral femoral neck fractures occurring as a direct consequence of generalised tonic–clonic seizures (GTCS), in the absence of external trauma, are exceedingly uncommon and frequently missed during initial evaluation.
Case Presentation: We describe a 54 year-old male with CKD, who presented with bilateral hip pain and inability to bear weight following a witnessed generalized tonic–clonic seizure at home. Imaging confirmed displaced bilateral femoral neck fractures. The patient underwent staged bilateral hip hemiarthroplasty with satisfactory recovery.
Discussion: This case emphasizes that patients with chronic kidney disease are vulnerable to non-traumatic fractures after seizures due to compromised bone strength, making early diagnosis and coordinated multidisciplinary management vital.
Conclusion: Bilateral neck of femur fractures following GTCS in a CKD patient is extremely rare and necessitates high clinical suspicion for prompt diagnosis and management.
Keywords: Generalized tonic–clonic seizure, Bilateral femoral neck fracture, Seizure-induced fracture, Total hip replacement
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| How to Cite this Article: Sahoo A. A Rare Case Report of Bilateral Neck Femur Fractures following GTCS in Chronic Kidney Disease Patient. The Odisha Journal of Orthopaedics and Trauma| January 2025; 06;01:30-32. https://doi.org/10.13107/ojot.2025.v06.i01.72. |
