In:
JBJS Case Connector, Ovid Technologies (Wolters Kluwer Health), Vol. 10, No. 4 ( 2020-10-20), p. e20.00369-e20.00369
Kurzfassung:
A 1-week-old female patient presented to our clinic with bilateral dislocated hips and was subsequently treated in a Pavlik harness. Harness treatment failed requiring a closed reduction and spica cast application. In the Post-Anesthesia Care Unit (PACU), the patient was found to have a right humerus fracture. Six weeks after cast application, the patient was found to have nondisplaced bilateral femur fractures prompting a genetics evaluation. The patient was subsequently found to have osteogenesis imperfecta type 3. Conclusion: Perioperative fractures in pediatric patients should raise suspicion for osteogenesis imperfecta. Early diagnosis can improve the management of hip dysplasia and allow for early bisphosphonate therapy.
Materialart:
Online-Ressource
ISSN:
2160-3251
DOI:
10.2106/JBJS.CC.20.00369
Sprache:
Englisch
Verlag:
Ovid Technologies (Wolters Kluwer Health)
Publikationsdatum:
2020
