Trochanteric hip fracture during
cardioversion therapy. A case report.
Int J Surg Case Rep 2017;
33:97-98. [PMID:
28288325 PMCID:
PMC5349456 DOI:
10.1016/j.ijscr.2017.02.047]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 02/23/2017] [Accepted: 02/23/2017] [Indexed: 11/26/2022] Open
Abstract
The propofol sedation should be complemented with skeletal muscle relaxants in the cardioversion therapy to avoid hip fracture in select patients with osteoporosis.
Hip fracture in osteoporotic bones should be considered after muscle violent contraction that causes hip pain and functional impotence.
Introduction
Trochanteric hip fractures in elderly patients with osteoporosis are commonly caused by low energy trauma. The cardioversion therapy is an extremely rare cause of this type of fracture.
Presentation of case
We report the case of a woman with hip fracture after cardioversion.
Discussion
We discuss the production mechanism of this injury and the importance of the care of the osteoporotic bone under these therapies.
Conclusion
The propofol sedation should be complemented with skeletal muscle relaxants in the cardioversion therapy to avoid hip fracture in select patients with osteoporosis.
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