Pathological Fracture of Femoral Neck Leading to a Diagnosis of Wilson's Disease: A Case Report and Review of Literature.
10.11005/jbm.2017.24.2.135
- Author:
Nishit BHATNAGAR
1
;
Purushotham LINGAIAH
;
Jeetendra Singh LODHI
;
Yugal KARKHUR
Author Information
1. Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India. nishitbhatnagar@yahoo.co.in
- Publication Type:Case Report
- Keywords:
Femur neck;
Fractures spontaneous;
Hepatolenticular degeneration
- MeSH:
Arthritis;
Child;
Copper;
Diagnosis*;
Female;
Femur;
Femur Neck*;
Follow-Up Studies;
Fractures, Spontaneous*;
Hepatolenticular Degeneration*;
Humans;
Infant;
Metabolism;
Neck;
Osteoporosis;
Osteotomy;
Rickets
- From:Journal of Bone Metabolism
2017;24(2):135-139
- CountryRepublic of Korea
- Language:English
-
Abstract:
Wilson's disease (WD) is a rare inherited disorder of copper metabolism. It chiefly has hepatic, neurological and ophthalmic manifestations. Although osteoporosis, rickets and early arthritis are common features of WD, they are under-recognized. Musculoskeletal manifestations very rarely lead to diagnosis of the disease. Here we present a case of a 12-year-old girl who presented with a 3-month-old pathological fracture of neck of femur. WD was diagnosed on investigating the cause of the pathological fracture, which was managed by performing a conventional McMurray's intertrochanteric osteotomy. At 6 months follow up, fracture had united and patient was able to ambulate with support. WD can be a rare cause of pathological fracture. A high index of suspicion must be maintained in patients of pathological fracture presenting with associated neuropsychiatric or hepatic manifestations.
