CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 313-317

Atraumatic femoral neck fracture secondary to prolonged lactation induced osteomalacia


Department of Orthopedics, Padmashree, Dr D Y Patil Medical College, Hospital and Research Centre, Dr D Y Patil Vidyapeeth, Pune, India

Correspondence Address:
Dhammapal Sahebrao Bhamare
Department of Orthopaedics, Dr. D. Y. Patil Medical College, Mahesh Nagar, Pimpri, Pune, Maharashtra - 411 018
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.114670

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Presenting a case of atraumatic fracture neck femur secondary to 2 years of prolonged lactation. A 26-year-old lactating mother presented with pain in left hip from last 12 months. She was apparently alright before and during pregnancy. Plain radiograph showed a complete undisplaced fracture of femoral neck. Osteomalacia was diagnosed by radiological and serological investigations. The fracture was fixed using AO type cannulated cancellous screws. The fracture showed good clinical and radiological union at 3 months. Literature review shows that this is a first case of atraumatic fracture of neck femur due to prolonged lactational osteomalacia. It showed that even apparently healthy Indians are susceptible to osteomalacia, more so during pregnancy and lactation and can be presented as atraumatic fracture. Although considered relatively stable, a compression type incomplete fracture neck femur may progress to a complete fracture if not treated in time.


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