Femur fracture in a paediatric patient with hereditary hyaline fibromatosis syndrome

Hannah Louise Morley; David L Shaw; Gary Hannant

doi:10.1136/bcr-2021-248447

Femur fracture in a paediatric patient with hereditary hyaline fibromatosis syndrome

BMJ Case Rep. 2022 Apr 5;15(4):e248447. doi: 10.1136/bcr-2021-248447.

Authors

Hannah Louise Morley¹, David L Shaw², Gary Hannant²

Affiliations

¹ Trauma and Orthopaedics, Bradford Royal Infirmary, Bradford, UK [email protected].
² Trauma and Orthopaedics, Bradford Royal Infirmary, Bradford, UK.

Abstract

An 18-month-old girl with hereditary hyaline fibromatosis syndrome (HHFS) and fixed flexion contractures presented with an oblique femur fracture, following a fall out of her mother's arms. The fracture was abutting intramedullary hyaline lesions. Due to her condition, balanced traction was impossible to apply. The authors report effective treatment of her injury using a non-operative approach in an early hip spica, over a 4-week period. There was no evidence of delayed osseous healing. Early spica application could be used as a definitive management option in children with femur fractures and fixed flexion contractures in future. This case emphasises the need for preventative measures to support bone health in patients with HHFS.

Keywords: Congenital disorders; Orthopaedic and trauma surgery; Orthopaedics.

Publication types

Case Reports

MeSH terms

Child
Female
Femoral Fractures* / surgery
Femur
Fracture Fixation, Intramedullary*
Humans
Hyaline Fibromatosis Syndrome* / complications
Infant
Traction
Treatment Outcome