Bilateral femoral neck fractures after minor trauma: Two cases of gross motor functional classification system (gmfcs) level ii cerebral palsy patients

Oner M., KARAMAN İ., Cirdi Y. U.

Kuwait Medical Journal, cilt.51, sa.3, ss.302-304, 2019 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 3
  • Basım Tarihi: 2019
  • Dergi Adı: Kuwait Medical Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.302-304
  • Anahtar Kelimeler: Cerebral palsy, Children, Fractures, Immobilization, Low bone density
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Bilateral simultaneous femur fractures in children are unusual cases. Renal osteodystrophy, osteomalacia, osteoporosis, osteopetrosis, anti-epileptic drug usage history, low calcium and vitamin D levels are the most possible causes of reduced bone strength. Systemic diseases and iatrogenic causes may lead to unexpected fractures by lowering fracture threshold. Children with cerebral palsy are prone to bone metabolism abnormalities due to reduced mobility and ineffective balance. Even in Gross Motor Functional Classification System (GMCSF II) cerebral palsy patients, who are normally able to walk in most settings and climb stairs, diagnosis of the fracture in these patients following minor trauma may be challenging. In this study, we present two cases categorized as GMFCS II mobility level with bilateral femoral neck fractures secondary to epileptic seizures.