Pipkin fracture - type IV

Presentation

post traumatic

Patient Data

Age: 48 years old
Gender: Male
Modality: CT

Left femoral head is incompletely reduced and superiorly displaced, with anterolateral fracture and multiple small intrarticular hip joint fracture fragments , associated with acetabular wall fractures and surrounding hematoma.

No femoral neck fracture

Case Discussion

Pipkin IV fracture of the left femoral head

Classification

  • type I: fracture distal to the fovea capitis, a small fracture not involving the weightbearing surface
  • type II: fracture proximal to the fovea capitis, a large fracture involving the weightbearing surface
  • type III: type I or II fracture with a fracture of the femoral neck, has an increased risk of avascular necrosis
  • type IV: type I or II fracture with a fracture of the acetabular wall, usually the posterior wall
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Case Information

rID: 50163
Case created: 21st Dec 2016
Last edited: 22nd Dec 2016
Inclusion in quiz mode: Included

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