Fractura bilateral del cuello femoral por fatiga
Abstract
Las denominadas fracturas por fatiga o por estrés ocurren en un hueso normal sometido a reiterados episodios de esfuerzo, aunque de menor requerimiento para causar una fractura aguda. Se presenta a una paciente de 63 años de edad, obesa, con antecedentes de salud anterior que comienza a presentar dolor en ambas regiones de la articulación de la cadera, limitando los movimientos e imposibilitando la marcha. Se le realizaron estudios de imagen donde se le diagnosticó una fractura bilateral del cuello femoral, la izquierda de mejor identificación que la derecha. El tratamiento consistió en osteosíntesis de la fractura izquierda con clavo deslizante, y tratamiento conservador mediante reposo de la cadera derecha. La evolución fue satisfactoria, a los 3 meses habían desaparecido los síntomas y a los 6 meses la paciente deambulaba sin dificultad. La asistencia temprana a esta afección es importante para decidir la terapéutica a emplear y de esta manera evitar las complicaciones.Downloads
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