Bilateral Femoral Neck Fractures in the Setting of Bilateral Slipped Capital Femoral Epiphysis

A Case Report

Abstract

Case: 

A 16-year-old adolescent boy with autism and vitamin D deficiency sustained a seizure and had bilateral femoral neck fractures and slipped capital femoral epiphysis (SCFEs). He underwent closed reduction and screw stabilization of femoral neck fractures with incorporation of in situ screw fixation of SCFEs. Intraosseous epiphyseal perfusion monitoring was used to confirm the perfusion of the femoral head. Two years postoperatively, he had healed fractures and no evidence for avascular necrosis.

Conclusion: 

A femoral neck fracture in the setting of a SCFE can be treated with closed reduction of the femoral neck fracture and screw fixation. Intraepiphyseal perfusion monitoring can be used to qualitatively assess femoral head perfusion.