title: Hip subluxation associated with Pipkin II fracture: an injury to look for before reduction.
abstract: Fractures of the femoral head are rare. They usually occur in association with a posterior hip dislocation secondary to a high-energy trauma (motor vehicle accident). We report a case of Pipkin II fracture associated with an irreducible hip subluxation. Clinical signs are poor unlike in posterior hip subluxation. CT scan is important to evaluate the traumatism. The Hardinge approach is relevant in this context of irreducible hip subluxation. The clinical, diagnostic, and therapeutic particularities of this lesion type are discussed.
authors.affiliation: Department of Orthopaedic Surgery, CHU Pointe-à-Pitre, 97159 Pointe-à-Pitre, Guadeloupe, French West Indies, France. andre-pierre.uzel@wanadoo.fr
authors.forename: André-Pierre
authors.initials: AP
authors.lastname: Uzel
authors.forename: Clarisse
authors.initials: C
authors.lastname: Mazzola
authors.forename: Guillaume
authors.initials: G
authors.lastname: Lebreton
authors.forename: Gwenaëlle
authors.initials: G
authors.lastname: Wilson
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Rouvillain
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum / Q000000981:diagnostic imaging; D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D001863:Bone Screws; D005270:Femur Head / Q000293:injuries*; D005271:Femur Head Necrosis / Q000209:etiology / Q000601:surgery; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000150:complications* / Q000601:surgery; D006617:Hip Dislocation / Q000150:complications* / Q000000981:diagnostic imaging; D006620:Hip Fractures / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011300:Preoperative Care; D012086:Reoperation; D014057:Tomography, X-Ray Computed