Spontaneous simultaneous bilateral femoral neck fractures secondary to osteomalacia: a case report and review of the literature

We present a case of spontaneous simultaneous bilateral hip fracture in an elderly female patient suffering undiagnosed osteomalacia. She underwent staged bilateral cemented bipolar hemiarthroplasty and received long-term medical treatment for osteomalacia. Our aim is to stress on the clinical value of unexplained chronic bilateral groin pain predicting the occurrence of these fractures and on the importance of evaluating serum levels of vitamin D, calcium and parathyroid hormone especially in elderly sedentary patients with lack of exposure to sunlight.