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KMID : 1207720110030040336
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Clinics in Orthopedic Surgery
2011 Volume.3 No. 4 p.336 ~ p.341
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Femoral Head Fracture without Dislocation by Low-Energy Trauma in a Young Adult
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Yoon Pil-Whan
Jeong Hyun-Seok
Yoo Jeong-Joon
Koo Kyung-Hoi
Yoon Kang-Sup
Kim Hee-Joong
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Abstract
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We describe the case of a healthy young man with a femoral head fracture by low-energy trauma that occurred without evidence of hip dislocation. While plain radiographs showed no definite fracture or dislocation, computed tomography (CT) and magnetic resonance imaging (MRI) revealed a femoral head fracture with a wedge-shaped cortical depression at the superomedial aspect of the femoral head. Our patient reported feeling that the right hip had been displaced from its joint for a moment. This probably represented subluxation with spontaneous relocation. The characteristic findings and possible mechanisms of this fracture were postulated on the basis of the sequential 3 dimensional-CT and MRI. The clinical results of conservative treatment were better than those of previously reported indentation fractures.
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KEYWORD
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Femoral head fracture, Indentation fracture
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