Greater trochanter fracture with extension into neck of femur

Case contributed by Dr Dai Roberts

Presentation

Mechanical fall, right hip pain on weight-bearing.

Patient Data

Age: 70 years
Gender: Male

Minimally displaced right greater trochanteric fracture. No displaced femoral neck fracture.  Calcified atherosclerotic disease. 

Minimally displaced right greater trochanter fracture with no displaced neck of femur fracture, although there are bone marrow changes within the right intertrochanteric region in keeping with an undisplaced incomplete femoral neck fracture. 

MRI confirms a right greater trochanteric fracture extending into and partially across the posterior aspect of the intertrochanteric line.  Findings in keeping with an incomplete right intertrochanteric neck of femur fracture.

Case Discussion

'Isolated' greater trochanteric fractures should undergo cross-section imaging as many are not isolated nor minor 1, and further imaging should always be recommended when reporting these radiographs.  Access to CT can be easier, although MRI, in particular, the T1 weighted sequences will most clearly define the fracture pattern.  

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Case information

rID: 75870
Published: 5th Sep 2020
Last edited: 6th Sep 2020
Inclusion in quiz mode: Included

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