tailieunhanh - báo cáo khoa học: "Concomitant ipsilateral subcapital and intertrochanteric fractures of the femur: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Concomitant ipsilateral subcapital and intertrochanteric fractures of the femur: a case report | Loupasis et al. Journal of Medical Case Reports 2010 4 363 http content 4 1 363 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Concomitant ipsilateral subcapital and intertrochanteric fractures of the femur a case report George Loupasis Panagiotis G Ntagiopoulos Antonios Asimakopoulos Abstract Introduction We report the case of an unusual combination of concomitant subcapital and intertrochanteric fractures of the hip in a patient after a motorcycle accident. To the best of our knowledge there is no previous report in the literature of these conditions as a result of high energy trauma or of the treatment used. Case presentation A 36-year-old Caucasian man was admitted with this rare fracture combination and was managed with closed fracture reduction and fixation with a dynamic hip screw combined with an anti-rotational cannulated screw. We found four similar cases on reviewing the literature from 1989 to 2009 but these were reports of older patients after low energy injury. Conclusion We found that segmental fracture of the femoral neck region is an extremely rare and uncategorized hip injury that can occur not only in older people but also in young non-osteoporotic patients and should be considered for inclusion in femoral fracture classification systems. Introduction Subcapital femoral fractures secondarily complicating internal fixation of previous united intertrochanteric fractures have been infrequently reported in the literature 1-4 . Simultaneous presentation of ipsilateral neck and intertrochanteric femoral fractures are extremely rare with only four such cases being reported in the literature during the period 1989 to 2009 5-8 . All these cases occurred in older patients after a low energy injury. We report a case of simultaneous ipsilateral subcapital and intertrochanteric fractures in a 36-year old man after a high-energy trauma from a road traffic accident. Based on our clinical experience the small number of