Isolated greater trochanteric fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Twisting injury during wrestling competition. Now, right thigh pain.

Patient Data

Age: 20 years
Gender: Female

Marrow edema centered within the right greater trochanter with a linear hypointense line through its base on PD and T1 sequences. Gluteus medius and minimus tendons are intact. Periosteal edema with mild adjacent gluteal muscle belly hyperintensity.

Case Discussion

This case demonstrates an undisplaced fracture through the greater trochanter. The attaching gluteus minimus and medius tendons are intact. These fractures generally result from forceful muscle contraction of a fixed limb, as in this case. 

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