OCAD MSK

History

41 y/o fell and dislocated hip

Figure 1 for case Femoral head fracture — Figure 1

Figure 2 for case Femoral head fracture — Figure 2

Figure 3 for case Femoral head fracture — Figure 3

Figure 4 for case Femoral head fracture — Figure 4

Figure 5 for case Femoral head fracture — Figure 5

Figure 6 for case Femoral head fracture — Figure 6

Discussion

Typical findings of a posterior hip dislocation including labral detachment. What is unusual in my experience (although well described) is the femoral head fracture, sort of like a hill sachs equivalent. In this case it is a pipkin type 1 or 2 fracture (see article). It extends to the fovea capitis and minimally above on an image (not shown). No plain films or CT for me to compare so I am unsure if there is a posterior acetabular fracture. Reference article.

Diagnosis

Femoral head fracture

Phillip Tirman MD

Courtesy

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