Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri.
JBJS Case Connect. 2024 Aug 1;14(3). doi: e24.00034. eCollection 2024 Jul 1.
A 48-year-old man presented to a Level 1 trauma center after a motor vehicle crash with a right irreducible posterior hip dislocation and ipsilateral fractures of the femoral head and segmental femur shaft. This injury was managed with open reduction and internal fixation and antegrade intramedullary nailing.
This is the first report of a combined irreducible femoral head fracture-dislocation and a segmental femur fracture, a rare injury that requires a stepwise approach to operative management of each injury. Surgeons must recognize the clinical and radiographic findings associated with irreducible hip dislocations in the setting of ipsilateral fractures to the femoral head and shaft.
一名 48 岁男性因机动车事故导致右髋关节后脱位伴同侧股骨头和股骨中段节段性骨折，就诊于 1 级创伤中心。该损伤采用切开复位内固定和顺行髓内钉治疗。
这是首例报道的合并不可复位股骨头骨折脱位和股骨中段节段性骨折的病例，这种罕见的损伤需要分步骤处理每个损伤。外科医生必须认识到在同侧股骨头和股骨颈骨折的情况下，与不可复位髋关节脱位相关的临床和影像学表现。
