Missed neck of femur fracture

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Fall some months ago. Ongoing left hip pain and poor weight-bearing

Patient Data

Age: 65 years
Gender: Female

Gross resorption of bone and marginal sclerosis at the NOF fracture site with soft tissue material in the interspace. Note early avascular change in the femoral head characterized by generalized loss of bone density, subarticular sclerosis and bone irregularity but no collapse

Case Discussion

This case demonstrates the typical complications of neck of femur fracture if missed or not treated by surgical stabilization ie non-union and avascular necrosis of the femoral head.

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