Subtrochanteric fracture managed by intramedullary nail in a patient with pycnodysostosis

A rare case of a 54-year-old man with pycnodysostosis having subtrochanteric fracture of right femur is being reported. This patient had this fracture after a trivial fall while walking. He had typical facial features, short stature, open fontenella, short stubby hands, high arched furrowed palate a...

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Bibliographic Details
Published in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2004-03, Vol.71 (2), p.154-156
Main Authors: Kundu, Zile Singh, Marya, Kirta Mohan, Devgan, Ashish, Yadav, Vikas, Rohilla, Seema
Format: Article
Language:English
Subjects:
Bone Nails
Craniofacial Dysostosis - complications
Craniofacial Dysostosis - diagnosis
Follow-Up Studies
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Fracture Healing - physiology
Hip Fractures - complications
Hip Fractures - diagnostic imaging
Hip Fractures - surgery
Humans
Male
Middle Aged
Osteosynthesis
Pycnodysostosis
Radiography
Risk Assessment
Skeletal sclerosis
Treatment Outcome
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Summary:A rare case of a 54-year-old man with pycnodysostosis having subtrochanteric fracture of right femur is being reported. This patient had this fracture after a trivial fall while walking. He had typical facial features, short stature, open fontenella, short stubby hands, high arched furrowed palate and radiological features including open cranial sutures, obtuse angle of mandible, dysplasia of lower end of radius and ulna, notching of lumbar vertebra and generalized skeletal sclerosis. The fracture was treated with an intramedullary nail; the surgery was quite a tedious procedure where we faced per-operative difficulty in reaming. The fracture united in 12 weeks. Extramedullary osteosynthesis might offer a better alternative in such patients as marrow is narrow but healing is normal.
ISSN:1297-319X
DOI:10.1016/S1297-319X(03)00143-X