Femoral head fracture without hip dislocation

• Published in: Chinese journal of traumatology Vol. 16; no. 5; pp. 304 - 307
• Main Authors: Aggarwal, Aditya K., Soni, Ashwani, Singh, Daljeet
• Format: Journal Article
• Language: English
• 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
• DOI: 10.3760/cma.j.issn.1008-1275.2013.05.012
• ISSN: 1008-1275

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.