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Bilateral Intertrochanteric Femoral Fractures in an 11-Month-Old Infant: A Case Report
Aboalfazl Nouri *1 , Siamak Shabani2 , Seyede rahele Arkian3
1- Department of shoulder Surgery, Mousavi Hospital Complex, Zanjan University of Medical Sciences, Zanjan, Iran , Abno628188@gmail.com
2- Department of Spine Surgery, Mousavi Hospital Complex, Zanjan University of Medical Sciences, Zanjan, Iran
3- Department of Zanjan orthopedic Surgery
Abstract:   (20 Views)
Pediatric hip fractures are exceedingly rare, accounting for less than 1% of all pediatric fractures. Bilateral intertrochanteric femoral fractures in an infant are almost unheard of and raise significant concern for underlying causes such as high-energy trauma or non-accidental injury. We report an 11-month-old male infant who presented with bilateral intertrochanteric femur fractures under suspicious circumstances. The child’s history was inconsistent with the injury pattern, prompting evaluation for non-accidental trauma. The infant was managed with prompt closed reduction and application of a bilateral hip spica cast. A full skeletal survey and metabolic workup were performed to identify any additional injuries or predisposing conditions. The fractures healed uneventfully after six weeks of immobilization, with follow-up showing satisfactory alignment and no complications. Investigations for osteogenesis imperfecta and other bone fragility disorders were negative. Child protection authorities were notified given the high suspicion of abuse. This case highlights an extremely rare presentation of simultaneous bilateral intertrochanteric fractures in an infant. It underscores the importance of considering child abuse in such scenarios, performing thorough evaluations to exclude underlying pathology, and instituting timely, appropriate management to achieve good outcomes.
 
Keywords: femor, surgical mesh, open fracture
     
Type of Study: Case Report Article | Subject: Clinical Medicine
Received: 2025/09/23 | Accepted: 2026/03/17
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