Hip fracture dislocation

Case contributed by Dr Paul Simkin

Presentation

Fall from 5 metres.

Patient Data

Age: 25
Gender: Male
Modality: X-ray

Complex fracture of the left acetabulum, with superior displacement of the femoral head. The left femoral head is smaller than the right, indicating a posterior dislocation. No further pelvic fracture is identified, and the sacroiliac joints and pubic symphysis are not widened.

Modality: CT

There is posterior dislocation of the left hip. There is an associated complex comminuted fracture of the left acetabulum, which involves both anterior and posterior columns, and the quadrilateral plate / medial wall. There is displacement of fracture fragments. Mildly displaced left L3 transverse process fracture. No further lumbar spine fracture.

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Case Information

rID: 30452
Case created: 11th Aug 2014
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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