scholarly journals Unique simultaneous dual mechanism based bilateral femoral head fracture secondary to posterior dislocation of hip: A rare case report

2015 ◽  
Vol 3 (2) ◽  
pp. 112
Author(s):  
Daksh Gadi ◽  
Ravinder Singh ◽  
Vikas Anand ◽  
Subodh Pathak
Keyword(s):  
Femoral Head ◽  
High Velocity ◽  
Traumatic Injury ◽  
Posterior Dislocation ◽  
Rare Entity ◽  
Femoral Head Fracture ◽  
Femur Head ◽  
Rare Case Report ◽  
Dual Mechanism ◽  
Unique Mechanism

<p>Hip joint being surrounded by strong ligaments and muscles is considered a stable joint and dislocations are exceptionally rare. Majority of the dislocations are unilateral and are secondary to a high velocity traumatic injury making a bilateral dislocation a rare entity. Due to high velocity injury, femur head and acetabular wall fractures have been associated to dislocations and each of the associated injuries occurs with a different mechanism of injury. In view of its rarity we hereby have reported a unique mechanism based case of bilateral posterior dislocation of hip with bilateral femoral head fracture.</p>

scholarly journals Use of Trochanteric Flip Osteotomy Improves the Outcome of Pipkin I and II Femoral Head Fractures

2018 ◽  
Vol 11 (02) ◽  
pp. 26-33
Author(s):  
RM Dhakal ◽  
RP Shrestha ◽  
B Shrestha ◽  
IS Kandel ◽  
KB Bista ◽  
...  
Keyword(s):  
Femoral Head ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Posterior Dislocation ◽  
Road Traffic Accidents ◽  
Femoral Head Fracture ◽  
Anatomical Reduction ◽  
Necrosis Of Femoral Head ◽  
Trochanteric Flip Osteotomy ◽  
Type Of Fracture

Introduction: Annual incidence of femoral head fracture is constantly increasing due to increase in cases of road traffic accidents (RTA). Four to 17% of femoral head fractures are due to posterior dislocations of hip. Outcome of femoral head facture associated with posterior dislocation of hip, the pipkin I and II fracture, is unsatisfactory due to lack of universally accepted protocol for its management and treatment. Objective: To evaluate the patient outcome using relatively newer approach, the Trochanteric Flip (digastrics) Osteotomy (TFO), for the precise anatomical reduction of femoral head fractures associated with posterior dislocation of hip. Methods: Between 2013 and 2017, 21 patients with sustained isolated femoral head fracture were admitted at our hospital. We used TFO approach for the management and treatment of femoral head fractures. The patients were followed up for 42 months at different intervals. Clinical outcome were evaluated using Merle d’Aubigne Postel and Thompson-Epstein scale. Results: Retrospective analysis showed excellent, good, fair and poor results in five (23.8%) patients, 13 (61.9%) patients, two (9.5%) patients and one (4.7%) patient, respectively. Clinical outcomes included sciatic nerve injury (4.7%), moderate arthritis (95.3%), benign non-debilitating heterotrophic ossification (19%), avascular necrosis of femoral head (4.7%) and neuropraxia (4.7%). Conclusions: Use of trochanteric flip osteotomy gives the favorable outcome for the treatment of this type of fracture. Most importantly, the vascularity of femoral head remains intact which makes TFO a very useful technique for pipkin I and II fracture treatment.

scholarly journals ANTERIOR HIP DISLOCATION-AN ORTHOPEDIC EMERGENCY: EVALUATION AND MANAGEMENT OF THESE RARE INJURIES

2020 ◽  
pp. 74-76
Author(s):  
Ravindra Prasad ◽  
Rajesh Malwa ◽  
L B Manjhi
Keyword(s):  
Femoral Head ◽  
Open Fracture ◽  
Systematic Approach ◽  
Hip Dislocation ◽  
Management Plan ◽  
Early Arthritis ◽  
Posterior Dislocation ◽  
Femoral Head Fracture ◽  
Anterior Hip Dislocation

Anterior hip dislocation with or without associated femoral head fracture or acetabulum are extremely rare injuries. These injuries represent orthopedic emergency of even greater urgency than open fracture and prompt reduction is required to prevent the complications such as AVN and early arthritis. Pathoanatomy and management plan for anterior hip dislocation differ significantly from that of posterior dislocation. When associated with a fracture either of the femoral head or acetabulum, treatment and outcome is significantly changed. A systematic approach is needed to manage these injuries so as to get a congruent and stable hip along with minimizing any complications.

Treatment of Femoral Head Fracture with Traumatic Posterior Dislocation of the Hip

2007 ◽  
Vol 19 (3) ◽  
pp. 176 ◽  
Author(s):  
Jeoung Ho Kim ◽  
Sang Hong Lee ◽  
Young Lae Moon ◽  
Dong Hui Kim ◽  
Kun Sang Song
Keyword(s):  
Femoral Head ◽  
Posterior Dislocation ◽  
Femoral Head Fracture ◽  
Dislocation Of The Hip

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals Gorham Stout disease: a case report from Syria

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Asil Esper ◽  
Sami Alhoulaiby ◽  
Areege Emran ◽  
Safwan Youssef ◽  
Zuheir Alshehabi
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Bone Formation ◽  
Clinical Picture ◽  
Bone Matrix ◽  
Differential Diagnoses ◽  
Rare Entity ◽  
Relative Improvement ◽  
Cellular Atypia ◽  
Pathologic Fractures

Abstract Gorham-Stout disease (GSD) is a rare entity that destroys the bone matrix resulting mainly in osteolysis, pain and pathologic fractures among a broader clinical picture. We report a case of a 60-year-old female with a sudden discovery of pathologic fractures in the pelvis and the absence of the left femoral head. On biopsy, no cellular atypia was found, instead disturbed bone formation with prominent vascularity with scattered foci of necrosis & osteolysis, which lead to the diagnosis of GSD. Possible differential diagnoses were discussed and excluded. The patient was put on Bisphosphonate that led to a relative improvement in the symptoms. This disease needs a more thorough investigation to identify the key cause, what is beyond the scope of this report.

scholarly journals Dysgenetic Polycystic Disease of Minor Salivary Gland: A Rare Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
N. Srikant ◽  
Shweta Yellapurkar ◽  
Karen Boaz ◽  
Mohan Baliga ◽  
Nidhi Manaktala ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Case Report ◽  
Rare Case ◽  
Minor Salivary Gland ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Lower Lip ◽  
Polycystic Disease ◽  
Rare Case Report

Polycystic (dysgenetic) disease of the salivary glands is a rare entity that has only recently been described in the literature. The disease is more commonly seen in females and majority of the cases have presented as bilateral parotid gland swellings. This case presenting in a 21-year-old male is the first of this unusual entity involving solely the minor salivary gland on the lower lip. This case report highlights the importance for the clinician to be aware of this differential diagnosis, when treating an innocuous lesion like a mucocele.

scholarly journals Asymmetric bilateral hip dislocations and unilateral femoral head fracture: A CASE report

2018 ◽  
Vol 17 ◽  
pp. 48-51
Author(s):  
Erdem Değirmenci ◽  
Yasin Emre Kaya ◽  
Kutay Engin Özturan
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Femoral Head Fracture
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