Jangir Rajat, Mishra Diwakar
Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur-332022. India.
Department of Orthopaedics, Pure Health Hospital & Medical Centre Pvt.ltd. Palej Kamboli Road, at & Po Simaliya, Dist. Bharuch, India.
J Orthop Case Rep. 2014 Jul-Sep;4(3):19-21. doi: 10.13107/jocr.2250-0685.187.
Injuries of the hip joint from pure hip dislocations to fracture dislocations have been described and classified by various authors. These descriptions do not include fracture dislocation of hip associated with fracture of the greater trochanter.
We report an unusual case of fracture dislocation of hip in which posterior dislocation of hip was associated with fracture of acetabulum, femoral head, femoral neck, greater trochanter and ipsilateral shaft of tibia. The fracture dislocation was managed with open reduction and internal fixation. Such fracture dislocation has not been reported in literature to the best of our knowledge.
We believe that fracture dislocations associate with fractures of greater trochanter should be included in current classification systems of fracture dislocations of hip.
不同作者对髋关节损伤,从单纯髋关节脱位到骨折脱位都进行了描述和分类。这些描述并未包括伴有大转子骨折的髋关节骨折脱位。
我们报告一例罕见的髋关节骨折脱位病例,该病例为髋关节后脱位并伴有髋臼、股骨头、股骨颈、大转子及同侧胫骨干骨折。该骨折脱位采用切开复位内固定治疗。据我们所知,此类骨折脱位在文献中尚无报道。
我们认为,伴有大转子骨折的骨折脱位应纳入当前髋关节骨折脱位的分类系统。