RESUMO
Pathologic femoral neck fracture due to renal osteodystrophy is rare. We report the case of a young adult patient with chronic renal failure who presented with bilateral spontaneous femoral neck fractures due to renal osteodystrophy. The pathophysiology of renal osteodystrophy and the treatment of hip fractures in patients with renal failure is discussed.
Assuntos
Distúrbio Mineral e Ósseo na Doença Renal Crônica/complicações , Fraturas do Colo Femoral/etiologia , Falência Renal Crônica/complicações , Adulto , Fraturas do Colo Femoral/fisiopatologia , Fraturas do Colo Femoral/cirurgia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
A 16-year-old boy was involved in an agricultural accident in which he sustained a large wound to the right arm and forearm. Radiological examination showed loss of the distal half of the humerus. A posterior splint was applied and after two months there was regeneration of the distal humerus including the articular portion. He was able to use his arm at five months. Twenty years later, he had a painless elbow and a 70 degrees range of movement.