Key result
Pathological fractures of the femoral neck in children can be caused by malignant tumors, necessitating capselotomy and biopsy for accurate diagnosis and treatment.
Case Report (n=2)
Femoral neck fractures in children caused by minor trauma should raise suspicion for pathological fractures due to malignant tumors, warranting early biopsy for definitive diagnosis.
Minor trauma femoral neck fractures in children may signal malignancy; Level 5 evidence leaves open whether biopsy should be routine.
We reported 2 cases of the pathological fractures of the femoral neck of children due to malignant tumors, that had been difficult to be defined.Case 1, a nine-year-old boy with rhabdomyosarcoma, was suffered when he fell down into a drain.Case 2, a nine-year-old boy with Ewing's sarcoma, was suffered when he slipped down on his way to school.They were transcervical type of femoral fractures. A fracture which was caused by relatively slight trauma might well be associated with pathological changes in the bone. Fractures of the femoral neck were rarely seen in children. In those cases, capselotomy was necessary for further examination and treatment.
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Harada et al. (1980) conducted a case report in Pathological fractures of the femoral neck (n=2). Malignant tumors (rhabdomyosarcoma and Ewing's sarcoma) was evaluated. Pathological fractures of the femoral neck in children can be caused by malignant tumors, necessitating capselotomy and biopsy for accurate diagnosis and treatment.
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