The diagnostic and management challenge for concomitant fragility fractures of pelvis and hip - a Case series with literature review

•Fragility fractures of hip and pelvis in the elderly population are common. They do co-exist but were frequently missed and undertreated.•Surgical treatment of fragility hip and pelvic fractures improves fracture stability, achieves better pain relief and allows earlier mobilization.•Anti-osteoporotic treatment is essential as secondary prevention in fragility fractures. Fragility fractures of hip and pelvis in the elderly population are common. They do co-exist but are frequently missed and undertreated. 3 cases of concomitant fragility fractures of hip and pelvis were identified. Hip fractures were treated with cemented hemiarthroplasty or cephalomedullary nail fixation, while pelvic fractures were treated with percutaneous screw fixation in same general anesthesia session. Anti-osteoporotic treatments were offered. Subjects were followed up for 1 year. Surgical treatment of fragility hip and pelvic fractures improves fracture stability, achieves better pain relief and allows earlier mobilization. Anti-osteoporotic treatment is essential as secondary prevention in fragility fractures.