Hip subluxation associated with Pipkin II fracture: an injury to look for before reduction.
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.
Uzel
André-Pierre
AP
Department of Orthopaedic Surgery, CHU Pointe-à-Pitre, 97159 Pointe-à-Pitre, Guadeloupe, French West Indies, France. andre-pierre.uzel@wanadoo.fr
Mazzola
Clarisse
C
Lebreton
Guillaume
G
Wilson
Gwenaëlle
G
Rouvillain
Jean-Louis
JL
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