IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Dynamic hip screw sliding

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Fall.

Patient Data

Age: 90 years
Gender: Female
x-ray

Undisplaced fractures through the superior and inferior pubic rami on the right. Previous right dynamic hip screw and derotational screw internal fixation, with no definite periprosthetic fracture identified. The lag screw has slid, indicating fracture compression. Extensive vascular calcification is noted.

CT confirms the fractures.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.