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  • Posterior hip dislocation associated with concomitant ipsilateral femoral head and shaft fractures: an unusual combination of injuries

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Case report
Posterior hip dislocation associated with concomitant ipsilateral femoral head and shaft fractures: an unusual combination of injuries
  1. Deepak Chouhan1,
  2. Prateek Behera2,
  3. Mohammed Tahir Ansari3 and
  4. Vijay Kumar Digge3
  1. 1Department of Orthopaedics, Kashmiri hospital and Heart care centre, Sunam, Punjab, India
  2. 2Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
  3. 3Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Prateek Behera; pbehera15{at}gmail.com

Abstract

The combination of posterior hip dislocation with an ipsilateral femoral head and shaft fractures is unusual. While cases of concomitant fractures of femoral head and shaft have been previously reported, the treatment of such injuries is challenging. Presence of an associated hip dislocation further complicates the matter. A timely diagnosis and treatment are crucial to have a good outcome.

We are presenting the case of a 20-year-old man who sustained a traumatic posterior hip dislocation with ipsilateral femoral shaft and femur head fractures. After reducing the hip, we fixed the femoral shaft with a retrograde femur nail and the femoral head by the trochanteric flip approach in the same sitting. The patient returned to his pre-injury occupation after 4 months. He has been doing well until his last follow-up, 1 year after the surgery, thus emphasising the utility of following basic principles of trauma management in the management of unusual injuries.

  • musculoskeletal and joint disorders
  • trauma
  • orthopaedics
  • orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2021-244453

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    Footnotes

    • DC and PB are joint first authors.

    • Contributors DC operated on the case and provided clinical care. PB performed the literature review and prepared the initial draft of the report. MTA prepared the final draft of the report. VD assisted DC in surgical planning and management. All the authors approved the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.