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Trochanteric hip fracture during cardioversion therapy. A case report

J Gómez1, J Albareda1, L Ezquerra1

  • 1Department of Orthopaedic Surgery, Lozano Blesa Clinical Hospital, Zaragoza, Spain.

International Journal of Surgery Case Reports
|March 14, 2017
PubMed

Insights

Cardioversion therapy can rarely cause hip fractures in elderly patients with osteoporosis. Muscle relaxants during propofol sedation may help prevent this rare but serious complication.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Cardiology

Background:

  • Elderly patients with osteoporosis are susceptible to low-energy hip fractures.
  • Cardioversion therapy is an uncommon but potential cause of trochanteric hip fractures.

Purpose of the Study:

  • To report a rare case of hip fracture following cardioversion.
  • To discuss the mechanism of injury and preventive strategies.

Main Methods:

  • Case report of a female patient experiencing hip fracture post-cardioversion.
  • Discussion of biomechanical factors and bone health management.

Main Results:

  • A hip fracture occurred in a patient after undergoing cardioversion.
  • The case highlights the risk of skeletal injury in osteoporotic bone during this procedure.

Conclusions:

  • Cardioversion can lead to trochanteric hip fractures in osteoporotic individuals.
  • Supplementing propofol sedation with muscle relaxants is recommended to mitigate fracture risk in susceptible patients.
Abstract

Keywords:
Cardioversion therapyCase reportElderlyHip fracture

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