RESEARCH ARTICLE


Inflammatory Bowel Disease, High-Dose Steroids, Osteoporosis, or an Oncological Etiology for a Pathological Femoral Neck Fracture in a Young Adult: A Case Report



Brandon Raudenbush*, Ian Walton, Ashley Simela, Michael Retino
University Hospitals Richmond Medical Center, 27100 Chardon Road, Richmond Heights OH 44143, USA


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© Raudenbush et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the University Hospitals Richmond Medical Center, 27100 Chardon Road, Richmond Heights OH 44143, USA; Tel: 440-585-6500; Fax: 440-585- 6141; E-mail: brandonraudenbush@yahoo.com


Abstract

Femoral neck fractures occur in approximately 6,000 of young adults annually (ages 18-49) (1). Of these, a high-energy traumatic event is the typical cause. Although medications and chronic diseases have been implicated as confounding causes of hip fractures, clinicians should have a high index of suspicion for an oncologic etiology of hip fractures occurring in young patients without an inciting traumatic event.

Study Design:

A case report and literature search in the English language.

Keywords: : Femoral neck fracture, young adult, osteoporosis, inflammatory bowel disease, Crohn’s disease, adenocarcinoma, metastatic disease, treatment..