coronal imaging; figure 1C). She was treated with osteosynthesis (figure 1D) to stabilise the femoral neck fracture, which resulted in a good functional outcome at 6-month follow-up. Occult femoral neck fractures are frequently misdiagnosed. Once misdiagnosed, the non-displaced fracture may become displaced. When this occurs, patients may need to be treated with hip arthroplasty, which is more ...

The patient at the age of 34 and 150kg of body weight suffered left hip posterior dislocation with femoral head fracture in car crash accident. The patient had been admitted to hospital after midnight. The mechanism of injury goes as follows: axial force and flexion in the hip caused by impact of the car. The left leg clinically observed is in painful extension, with minimal movement, strong pa...

The patient at the age of 34 and 150kg of body weight suffered left hip posterior dislocation with femoral head fracture in car crash accident. The patient had been admitted to hospital after midnight. The mechanism of injury goes as follows: axial force and flexion in the hip caused by impact of the car. The left leg clinically observed is in painful extension, with minimal movement, strong pa...

The treatment of basicervical femoral fractures remains controversial. The aim of this study was to examine the efficacy of intramedullary nail use in the surgical treatment of basicervical fractures. In total, 28 patients with basicervical fractures treated with proximal femoral nails were examined retrospectively. Fracture healing was observed in all patients, who were followed at least for 6...

Introduction: Total hip arthroplasty (THA) after proximal femoral fixation is a challenging procedure due to possible hardware-related complications. Case presentation: A 78-year-old female with hip osteoarthritis had a proximal femoral osteotomy fixed using a blade plate in the same femur 41 years ago. A two-step approach was planned. After a challenging...

BACKGROUND Patients with multiple sclerosis (MS) have been reported to be at higher risk of fracture than other people. We sought to test this hypothesis in a large database of hospital admissions in England. METHODS We analysed a database of linked statistical records of hospital admissions and death certificates for the whole of England (1999-2010). Rate ratios for fractures were determined...

OBJECTIVE To determine, through bone histomorphometry in femoral neck, whether there are differences in the cancellous bone of the proximal femur from female patients over 60 years old who had femoral neck fracture and similar patients who did not have such fracture. METHODS We analyzed the trabecular part of the femur of 13 female patients, aged over 60 years old, by the bone histomorphometr...

CASE REPORT A 79-year-old woman sustained a left anterior column acetabulum fracture after falling on ice. On initial presentation to the emergency room she was placed in femoral pin traction. The reduction of the acetabulum in traction was not concentric and the femoral head began to migrate centrally. Treatment options, including primary THA after the acetabulum fracture healed, were discusse...

PURPOSE We hypothesized that the central dislocation of the femoral head does generally not occur in transverse acetabular fractures, although it does usually occur in both column fractures. MATERIALS AND METHODS Fifty-two transverse and both column acetabular fracture cases were evaluated retrospectively. The distances between (a) the sciatic notch on the fracture side and the vertical axis ...

BACKGROUND Distal femur fractures are difficult to manage, and the selection of implant approach for internal fixation remains controversial. This study explores the clinical outcome of treating distal femoral fractures with a locking compression plate using a posteriolateral novel approach. METHODS Twenty patients with distal femoral fractures were included in our study, and all patients und...