Femoral head fracture without hip dislocation

Femoral head fractures without disloca- tion or subluxation are extremely rare injuries. We report a neglected case of isolated comminuted fracture of femoral head without hip dislocation or subluxation of one year duration in a 36-year-old patient who sustained a high en- ergy trauma due to road tr...

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Bibliographic Details
Published inChinese journal of traumatology Vol. 16; no. 5; pp. 304 - 307
Main Authors Aggarwal, Aditya K., Soni, Ashwani, Singh, Daljeet
Format Journal Article
LanguageEnglish
Published China Elsevier B.V 01.10.2013
Department of Orthopaedic Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India
Elsevier
Subjects
Adult
Arthroplasty, Replacement, Hip
Classification
Femur head
Femur Head - injuries
Fractures, Comminuted - surgery
Harris
Hip dislocation
Hip Fractures - surgery
Humans
Male
伤害
分类系统
无位错
股骨头
道路交通事故
骨折
髋关节脱位
Hip dislocation
Arthroplasty, replacement, hip
Classification
Femur head
Arthroplasty,replacement,hip
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Summary:Femoral head fractures without disloca- tion or subluxation are extremely rare injuries. We report a neglected case of isolated comminuted fracture of femoral head without hip dislocation or subluxation of one year duration in a 36-year-old patient who sustained a high en- ergy trauma due to road traffic accident. He presented with painful right hip and inability to bear full weight on right lower limb with Harris hip score of 39. He received cementless total hip replacement. At latest follow-up of 2.3 years, functional outcome was excellent with Harris hip score of 95. Such isolated injuries have been described only once in the literature and have not been classified till now. The purpose of this report is to highlight the extreme rarity, pos- sible mechanism involved and a novel classification system to classify such injuries.
Bibliography:Femoral head fractures without disloca- tion or subluxation are extremely rare injuries. We report a neglected case of isolated comminuted fracture of femoral head without hip dislocation or subluxation of one year duration in a 36-year-old patient who sustained a high en- ergy trauma due to road traffic accident. He presented with painful right hip and inability to bear full weight on right lower limb with Harris hip score of 39. He received cementless total hip replacement. At latest follow-up of 2.3 years, functional outcome was excellent with Harris hip score of 95. Such isolated injuries have been described only once in the literature and have not been classified till now. The purpose of this report is to highlight the extreme rarity, pos- sible mechanism involved and a novel classification system to classify such injuries.
Femur head; Hip dislocation;Classification; Arthroplasty, replacement, hip
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ISSN:1008-1275
DOI:10.3760/cma.j.issn.1008-1275.2013.05.012