Severe pelvic trauma: hip dislocation with bilateral femoral fractures

Case contributed by Mr Andrew Murphy

Presentation

Paragliding accident.

Patient Data

Age: 21 years
Gender: Male

There is a vertically orientated sheer fracture of the medial right femoral head with superior dislocation of the hip joint. Loose bony fragment sits within the acetabular fossa. There is also a left femoral shaft fracture with shortening and comminution.

Case Discussion

Femoral head fractures are uncommon, and are usually the result of high impact trauma. The 'textbook' mechanism is via a posterior dislocation of the hip. The amount of force involved means there is a high chance of significant associated injuries 1,3.

A fracture-dislocation of the hip is defined as an orthopaedic emergency, and closed reduction is favoured within 6 hours of diagnosis. Fractures that cannot be reduced should be considered for open reduction 1-3.

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Case information

rID: 47822
Case created: 4th Sep 2016
Last edited: 28th Sep 2016
Inclusion in quiz mode: Included

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