Femoral neck fracture in sickle cell anemia: A comprehensive case study
Key Clinical Message The significance of taking femoral neck stress fractures into account as a possible consequence in sickle cell anemia patients is underscored by this case report. In this high‐risk group, early identification, timely diagnosis, and suitable care are crucial for averting major pr...
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Wiley
2024-09-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.9413 |
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| author | Ayman Taj Elsir Mustafa Babiker Yousif Omer Elgaili Yousif Mohammed Mubarak Mohammed Ahmed Mohammed Alssir MohammedAhmed Hozifa Mohammed Ali Abd‐Elmaged |
| author_facet | Ayman Taj Elsir Mustafa Babiker Yousif Omer Elgaili Yousif Mohammed Mubarak Mohammed Ahmed Mohammed Alssir MohammedAhmed Hozifa Mohammed Ali Abd‐Elmaged |
| author_sort | Ayman Taj Elsir Mustafa Babiker |
| collection | DOAJ |
| description | Key Clinical Message The significance of taking femoral neck stress fractures into account as a possible consequence in sickle cell anemia patients is underscored by this case report. In this high‐risk group, early identification, timely diagnosis, and suitable care are crucial for averting major problems and improving results. When sickle cell anemia patients complain with hip or groin discomfort, healthcare practitioners should keep a high index of suspicion for femoral neck stress fractures to assure prompt management and prevent long‐term impairment. Abstract Sickle cell disease (SCD) is a prevalent genetic hemoglobinopathy with significant global implications, affecting a substantial portion of the population. Avascular necrosis of the femoral head is a common complication in SCD, leading to severe joint damage and immobility. This case report is of a 20‐year‐old male who presented with severe hip pain due to a femoral neck stress fracture, which progressed to a complete fracture. This patient had a past medical history of sickle cell anemia and a malunited subtrochanteric fracture that resulted in shortening, external rotation, and a limping gait. Surgical treatment via subtrochanteric osteotomy with fixation using a dynamic hip screw with or without iliac crest bone graft was planned, with a satisfactory reduction and closure of the fracture gap, postoperatively. In cases of sickle cell anemia patients, bone complications such as both osteonecrosis and stress fractures are common. As a healthcare provider, it is important to manage and address these not only through medical interventions, but also through counseling and patient education. Patients must be reminded about the importance of compliance with medical advice to avoid progression or recurrence of complications. |
| format | Article |
| id | doaj-art-b14bcb1ead5049698ff46cfc790a6cc6 |
| institution | DOAJ |
| issn | 2050-0904 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-b14bcb1ead5049698ff46cfc790a6cc62025-08-20T02:50:22ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9413Femoral neck fracture in sickle cell anemia: A comprehensive case studyAyman Taj Elsir Mustafa Babiker0Yousif Omer Elgaili Yousif1Mohammed Mubarak Mohammed Ahmed2Mohammed Alssir MohammedAhmed3Hozifa Mohammed Ali Abd‐Elmaged4Orthopaedics and Traumatology Atbara Teaching Hospital Atbara SudanGeneral Surgery Department Alzaim Alazhari University Khartoum SudanOrthopaedics and Traumatology Royal Care International Hospital Khartoum SudanOrthopaedics and Traumatology Ibrahiem Malik Teaching Hospital Khartoum SudanOrthopaedics and Traumatology Alzaiem Alazhari University Khartoum SudanKey Clinical Message The significance of taking femoral neck stress fractures into account as a possible consequence in sickle cell anemia patients is underscored by this case report. In this high‐risk group, early identification, timely diagnosis, and suitable care are crucial for averting major problems and improving results. When sickle cell anemia patients complain with hip or groin discomfort, healthcare practitioners should keep a high index of suspicion for femoral neck stress fractures to assure prompt management and prevent long‐term impairment. Abstract Sickle cell disease (SCD) is a prevalent genetic hemoglobinopathy with significant global implications, affecting a substantial portion of the population. Avascular necrosis of the femoral head is a common complication in SCD, leading to severe joint damage and immobility. This case report is of a 20‐year‐old male who presented with severe hip pain due to a femoral neck stress fracture, which progressed to a complete fracture. This patient had a past medical history of sickle cell anemia and a malunited subtrochanteric fracture that resulted in shortening, external rotation, and a limping gait. Surgical treatment via subtrochanteric osteotomy with fixation using a dynamic hip screw with or without iliac crest bone graft was planned, with a satisfactory reduction and closure of the fracture gap, postoperatively. In cases of sickle cell anemia patients, bone complications such as both osteonecrosis and stress fractures are common. As a healthcare provider, it is important to manage and address these not only through medical interventions, but also through counseling and patient education. Patients must be reminded about the importance of compliance with medical advice to avoid progression or recurrence of complications.https://doi.org/10.1002/ccr3.9413dynamic hip screwfemoral neck fracturehemoglobin sickle cellpostoperative carestress fracture |
| spellingShingle | Ayman Taj Elsir Mustafa Babiker Yousif Omer Elgaili Yousif Mohammed Mubarak Mohammed Ahmed Mohammed Alssir MohammedAhmed Hozifa Mohammed Ali Abd‐Elmaged Femoral neck fracture in sickle cell anemia: A comprehensive case study Clinical Case Reports dynamic hip screw femoral neck fracture hemoglobin sickle cell postoperative care stress fracture |
| title | Femoral neck fracture in sickle cell anemia: A comprehensive case study |
| title_full | Femoral neck fracture in sickle cell anemia: A comprehensive case study |
| title_fullStr | Femoral neck fracture in sickle cell anemia: A comprehensive case study |
| title_full_unstemmed | Femoral neck fracture in sickle cell anemia: A comprehensive case study |
| title_short | Femoral neck fracture in sickle cell anemia: A comprehensive case study |
| title_sort | femoral neck fracture in sickle cell anemia a comprehensive case study |
| topic | dynamic hip screw femoral neck fracture hemoglobin sickle cell postoperative care stress fracture |
| url | https://doi.org/10.1002/ccr3.9413 |
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