Case Rep Orthop Res 2020;3:118–122 DOI: 10.1159/000509704 Published online: November 9, 2020 © 2020 The Author(s) Published by S. Karger AG, Basel www.karger.com/cio This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. Dany K. Aouad Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University Achrafieh, Beirut 1100 2807 (Lebanon) dany_aouad@hotmail.com Case Report Physical Manipulation-Induced Femoral Neck Fracture: A Case Report Rami A. Ayoubi Nour S. Nassour Elias G. Saidy Dany K. Aouad Joseph S. Maalouly Elie B. Daou Department of Orthopedic Surgery, Saint George Hospital Medical Center, University of Balamand, Beirut, Lebanon Keywords Physical manipulative treatment · Hip fractures · Case report · Osteopathy · Chiropractic manipulation · Complication Abstract 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 com- plications. This report presents the case of a 78-year-old male patient with a history of Parkin- son’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 complica- tions 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. © 2020 The Author(s) Published by S. Karger AG, Basel