Simultaneous fracture of the neck of the femora in an adolescent

A healthy adolescent boy presented with bilateral groin discomfort and pain in both lower limbs. Initial radiographs revealed fractures involving both femoral necks simultaneously, a fairly uncommon entity in the presenting age group. After a thorough clinical examination and assessment of the hormonal panel, the patient was found to have secondary hyperparathyroidism and resultant hypocalcemia, which were finally attributed to vitamin D deficiency. On normalization of serum calcium levels, both hips were stabilized post-operatively. This unique case, of simultaneous fracture of both femoral necks owing to metabolic derangements in a child, has been highlighted here.