Authors: Dr Jonathan Dimitry, Dr Housam Ghazzawi. United Lincolnshire Teaching Hospitals NHS Trust
Declaration:
This case presentation prepared by us is based on our own clinical work and review of the literature and has not been copied from another source. All patient-identifiable details have been removed from the text and images to protect confidentiality in line with UK GDPR requirements. The patient gave informed consent for his case and relevant imaging to be used for academic/presentation purposes.
Introduction:
Hip fractures are a common reason for hospital admission in older adults and are associated with substantial morbidity, loss of independence, and increased mortality [1,2]. Operative treatment is the mainstay of management for most hip fractures, with the aim of enabling early mobilisation and reducing complications related to prolonged immobility [1].
Myocardial infarction (MI) is a recognised complication after hip fracture surgery and contributes to worse short-term outcomes in this high-risk population [3,4]. Type 2 myocardial infarction (T2MI) is defined as myocardial necrosis caused by an imbalance between myocardial oxygen supply and demand, rather than acute coronary plaque rupture, and common triggers include anaemia, hypoxia, sepsis, hypotension, and other physiological stressors [5,6].
We present a case of an elderly patient who developed a T2MI following intramedullary nailing for a neck of femur fracture, highlighting the challenges of diagnosis and management in the immediate post-operative setting.
