J Korean Fract Soc.  2010 Jan;23(1):113-117. 10.12671/jkfs.2010.23.1.113.

Posterior Hip Dislocation with Ipsilateral Fractures of the Femoral Head and Intertrochanter: A Case Report

• Park JH
• Kim HS
• Chung ST
• Yoo EH
• Kim JH
• Cha SD
• Lee TW

• KMID: 1461582
• DOI: http://doi.org/10.12671/jkfs.2010.23.1.113

Abstract

High-energy injury, as traffic accident or fall down, can cause fracture of femur head and posterior dislocation of hip joint which is accompanied with ipsilateral acetabulum fracture or femur neck fracture. But the case that femur head fracture and posterior dislocation of the hip joint coincide with ipsilateral intertrochanteric fracture of proximal femur is so uncommon that reports of the case is very rare. We hereby are to report the experienced and treated-cases of femur head fracture and posterior dislocation of the hip joint that is accompanied with ipsilateral intertrochanteric fracture.

Keyword

Femur head fracture; Femur intertrochanteric fracture; Fracture-dislocation

MeSH Terms

Accidents, Traffic
Acetabulum
Dislocations
Femoral Neck Fractures
Femur
Femur Head
Head
Hip
Hip Dislocation
Hip Joint

Figure

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  Fig. 1 (A) Anteroposterior Hip radiograph shows left femoral head fracture and combined ipsilateral intertrochanteric fracture. (B) Axial CT image shows large fracture fragment of femoral head and posterior hip dislocation in the left hip joint.

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  Fig. 2 (A, B) Immediate postoperative anteroposterior and axial Hip radiographs show that left femoral head fracture was fixated with standard Acutrak screw and ipsilateral intertrochanteric fracture was fixated with LCP-DF.

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  Fig. 3 (A, B) Postoperative 3 months later follow-up anteroposterior and axial Hip radiographs show bridging callus formation around previous intertrochanteric fracture area. Avascular necrosis of femur head or displacement does not observed.

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  Fig. 4 Postoperative 5 months later follow-up Abdomen radiograph shows erosion or avascular necrosis of femoral head and posterior dislocation.

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