Traumatic Simultaneous Bilateral Femoral Neck Fracture in a Child: A Case Report

BACKGROUND: Traumatic bilateral fracture of femoral necks in healthy children is a rare occurrence. A delay in surgery can impair anatomic closed reduction of a femoral neck fracture.  CASE PRESENTATION: The authors report a rare case of a traumatic bilateral fracture of the femoral neck in a 9-year-old schoolgirl. This case was an unusual association of a transcervical fracture and an intertrochanteric fracture. This is the first known case of these two fracture types described in the same patient. Primary skin traction and a late closed surgical management gave a good result, although if possible early surgery is advised.  CONCLUSION: The main mechanism of injury in this case is a two-step trauma. In this case, a delay to surgery by closed reduction and internal fixation by percutaneous screw fixation led to an acceptable outcome.