Abstract
IntroductionIntracapsular and extracapsular hip fractures are common amongst elderly patients but simultaneous intracapsular and extracapsular hip fractures are rare.Case presentationWe present the case of an elderly woman who sustained simultaneous intracapsular and extracapsular hip fractures and describe the complications which ensued following fixation.ConclusionConcomitant ipsilateral intracapsular and extracapsular femoral neck fracture is an uncommon injury pattern. It occurs most commonly in osteoporotic patients with low energy falls. Close examination of radiographs must be made to ensure that more subtle fractures are not overlooked and the injury managed appropriately. If doubt exists on initial radiographs further imaging should be considered.
Highlights
Intracapsular and extracapsular hip fractures are common amongst elderly patients but simultaneous intracapsular and extracapsular hip fractures are rare.Case presentation: We present the case of an elderly woman who sustained simultaneous intracapsular and extracapsular hip fractures and describe the complications which ensued following fixation
More commonly reported is the presence of a subcapital fracture occurring sequentially following Dynamic hip screw (DHS) fixation, which is thought to arise secondary to poor pin placement leading to a 'stress riser' effect
Cases of simultaneous intracapsular and extracapsular fracture are thwart with problems relating to diagnosing this injury and debate regarding optimal methods of fixation
Summary
Case presentation: We present the case of an elderly woman who sustained simultaneous intracapsular and extracapsular hip fractures and describe the complications which ensued following fixation. Simultaneous intracapsular and extracapsular hip fractures are rare. There has been no comprehensive discussion in the literature collating the details of these cases or suggesting optimal management. These fractures can be difficult to diagnose, and may be incorrectly managed which may result in failure of fixation. An 86-year-old woman was admitted following a simple low energy fall in her home. She complained of left hip pain and was unable to weightbear.
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