同侧粗隆间及股骨头骨折，髋关节无脱位。具有潜在误导性的X线片：一例病例报告并文献复习
Ipsilateral intertrochantric and femoral head fracture without dislocation of the hip. Potentially misleading radiograph: a case report and review of literature.
作者信息
Gulati Yash, Tanwar Yashwant, Jaiswal Atin, Jharia Trambak
机构信息
Department of Orthopedic Surgery, Dr. Ram Manohar Lohia Hospital and Postgraduate Institute of Medical Education and Research (PGIMER), New Delhi, India.
Department of Orthopedic Surgery, BLK Super Speciality Hospital, New Delhi, India.
出版信息
Pol Orthop Traumatol. 2014 Jun 8;79:77-81.
BACKGROUND
Traumatic femoral head fracture without dislocation with ipsilateral intertrochanteric fracture is an extremely rare injury and has not been reported in the literature.
CASE REPORT
We reported a case of simultaneous ipsilateral femoral head and intertrochantric fracture without dislocation of the hip in a 74-year-old woman. The patient presented with a history of road traffic accident. Radiographs and computerised tomography scans revealed a right intertrochantric fracture and femoral head fracture without dislocation of the hip.
CONCLUSIONS
The case was managed by uncemented modular bipolar arthroplasty using LINK reconstruction prosthesis. In the case report we described this unusual pattern, mechanism of injury, and management of such cases.
背景
创伤性股骨头骨折未脱位合并同侧粗隆间骨折是一种极为罕见的损伤，文献中尚未见报道。
病例报告
我们报告了一例74岁女性同时发生同侧股骨头和粗隆间骨折且髋关节未脱位的病例。该患者有道路交通事故史。X线片和计算机断层扫描显示右侧粗隆间骨折和股骨头骨折，髋关节未脱位。
结论
该病例采用LINK重建假体进行非骨水泥型模块化双极人工关节置换术治疗。在本病例报告中，我们描述了这种不寻常的损伤模式、损伤机制及此类病例的治疗方法。
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