Vancouver B1 periprosthetic hip fracture

Case contributed by Dr Balint Botz

Presentation

Pain in the right hip after falling. Total hip arthroplasty 20 and 30 years ago in the right and left hips.

Patient Data

Age: 90
Gender: Female

A minimally displaced periprosthetic fracture is visible around the lateral aspect of the stem of the prosthesis, corresponding to a Vancouver B1 fracture (see key image). Porotic bone structure. Incidentally an inhomogenous calcified mass is visible in the pelvis. 

Non-contrast CT demonstrates a minimally displaced fracture, as well as the separation of a small cortical fragment. Extremely osteoporotic bones. The calcified masses in the pelvis are most likely fibroids that had undergone degeneration (see soft tissue window). 

Case Discussion

Typical presentation of Vancouver B1 periprosthetic hip fracture. 

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Case information

rID: 60719
Published: 31st May 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included
Institution: University of Pécs

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