A Case of Anterior Dislocation of Hip Associated with an Unusual Pattern of Fracture of Proximal Femur

INTRODUCTION Anterior dislocation of hip associated with fracture of proximal femur is an uncommon injury. Only very few cases are reported in the literature. We report such an unusual and previously not described case of anterior dislocation of hip associated with fracture of trochanter and neck of the femur in an elderly lady. CASE REPORT A 60 year old lady was presented to our casualty following a fall at home. She complained of pain in the left hip with deformity and inability to move the limb. The hip was externally rotated and clinical examination revealed anterior dislocation of the hip. X-ray showed associated fracture of the proximal femur extending between base of greater trochanter and head of the femur. Cemented Hemiarthroplasty was done under regional anesthesia. CONCLUSION Anterior dislocation of hip with extensive fracture of proximal femur, though a rare condition may present because of associated twisting force at the time of the fall. If operated with cemented prosthetic replacement of the head, patient can be mobilized early.