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Femur fracture in a paediatric patient with hereditary hyaline fibromatosis syndrome
  1. Hannah Louise Morley,
  2. David L Shaw and
  3. Gary Hannant
  1. Trauma and Orthopaedics, Bradford Royal Infirmary, Bradford, UK
  1. Correspondence to Hannah Louise Morley; hannah.morley1{at}


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.

  • Congenital disorders
  • Orthopaedics
  • Orthopaedic and trauma surgery

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  • Contributors All of the authors were involved in the treatment of this patient. HLM wrote the article with editing from DLS and GH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.