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J Med Case Rep. 2010 Nov 15;4:363. doi: 10.1186/1752-1947-4-363.

Concomitant ipsilateral subcapital and intertrochanteric fractures of the femur: a case report.

Author information

1
2nd Orthopaedic Clinic, General Hospital of Athens 'G Gennimatas', Athens, Greece. gloupasis@gmail.com.

Abstract

INTRODUCTION:

We report the case of an unusual combination of concomitant subcapital and intertrochanteric fractures of the hip in a patient after a motorcycle accident. To the best of our knowledge, there is no previous report in the literature of these conditions as a result of high energy trauma or of the treatment used.

CASE PRESENTATION:

A 36-year-old Caucasian man was admitted with this rare fracture combination, and was managed with closed fracture reduction and fixation with a dynamic hip screw combined with an anti-rotational cannulated screw. We found four similar cases on reviewing the literature from 1989 to 2009, but these were reports of older patients after low energy injury.

CONCLUSION:

We found that segmental fracture of the femoral neck region is an extremely rare and uncategorized hip injury that can occur not only in older people but also in young non-osteoporotic patients, and should be considered for inclusion in femoral fracture classification systems.

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