title: A rare medley: concurrent ipsilateral femur head and neck fracture without hip dislocation.
abstract: Simultaneous post-traumatic ipsilateral fracture of femur head and subcapital femur neck without hip dislocation is a rare presentation and easily missed on X-ray imaging. A 48 years old male, with a history of high-energy road traffic accident, presented to us with severe pain in the left hip region and inability to ambulate. Preliminary X-ray showed impacted subcapital fracture with varus angulation between femur head and neck. Further computed tomography (CT) scan imaging showed ipsilateral fracture of femur head and subcapital femur neck without hip dislocation. Primary total hip arthroplasty was performed. Presently patient is 5 years post-surgery and can ambulate without support. In conclusion, this fracture pattern, though rare, should be suspected in high-energy road traffic accident patients with shear forces acting at femur neck. It can best be diagnosed using 3D CT scan imaging. Primary total hip arthroplasty is an appropriate treatment in such patients.
authors.affiliation: Seth G. S. Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Pawar
authors.affiliation: Seth G. S. Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India dr.vikramkandhari@gmail.com.
authors.forename: Vikram Kishor
authors.initials: VK
authors.lastname: Kandhari
references.citation: Tanzan J Health Res. 2010 Oct;12(4):214-21
references.pmid: 24409627
references.citation: Clin Orthop Relat Res. 2001 Oct;(391):247-50
references.pmid: 11603676
references.citation: J Bone Joint Surg Am. 1957 Oct;39-A(5):1027-42 passim
references.pmid: 13475403
references.citation: Hip. 1987;:181-206
references.pmid: 3546215
references.citation: Injury. 1981 May;12(6):487-90
references.pmid: 7275294
references.citation: J Bone Joint Surg Am. 2002 Mar;84-A(3):454-64
references.pmid: 11886919
references.citation: J Trauma. 1995 Apr;38(4):658-9
references.pmid: 7723114
references.citation: Clin Orthop Relat Res. 1987 Nov;(224):164-8
references.pmid: 3665237
references.citation: J Chir (Paris). 1987 Aug-Sep;124(8-9):454-8
references.pmid: 3320073