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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.

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2nd Orthopaedic Clinic, General Hospital of Athens 'G Gennimatas', Athens, Greece.



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.


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.


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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