Manipulative treatments for pain are very widely used nowadays by a variety of physicians. These treatment modalities are generally safe, but various studies have reported serious complications. This report presents the case of a 78-year-old male patient with a history of Parkinson’s disease, who was diagnosed with a right hip fracture that occurred as a result of physical manipulative treatment. He underwent a cemented hemi-arthroplasty as appropriate surgical treatment of his condition. Manipulative treatments can result in minor and major complications ranging from simple sprains and rib fractures to cerebrovascular accidents and death. The frequency of these events seems to be rare; however, no robust studies are present and further investigations are urgently needed. Hip fractures as a result of this treatment have not been previously mentioned. This is the first reported case in the literature of a hip fracture resulting from manipulative treatment. Primary care physicians and orthopedists should be aware of the possibility of this outcome and rule it out whenever necessary.
Case Rep Orthop Res 2020;3:118–122

中文翻译：

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物理操纵诱发的股骨颈骨折：一例报告

如今，各种医师已广泛使用疼痛的手法治疗。这些治疗方式通常是安全的，但是各种研究都报告了严重的并发症。本报告介绍了一名具有帕金森氏病史的78岁男性患者的病例，该患者被诊断为因进行物理手法治疗而发生的右髋骨骨折。他接受了硬骨半髋关节置换术，作为对其状况的适当手术治疗。手法治疗可导致轻度和重度并发症，从简单的扭伤和肋骨骨折到脑血管意外和死亡。这些事件的发生频率似乎很少。但是，目前尚无可靠的研究，因此迫切需要进一步的研究。由于这种治疗导致的髋部骨折以前没有被提及。这是文献报道的第一例因手法治疗导致的髋部骨折。初级保健医师和骨科医师应意识到这种结果的可能性，并在必要时予以排除。
Case Rep Orthop Res 2020; 3：118–122