Abstract
Arterial injury following impalement due to a trochanteric hip fracture-fragment per se has been documented rarely. We report a case of pseudoaneurysm of profunda femoris artery at the first perforator branch in a 48-year-old male, with trochanteric hip fracture following a fall during an epileptic episode. Persistent recalcitrant pain, globular swelling in the groin, unexplained drop in the haemoglobin level, and color doppler ultrasonography findings were salient features to the diagnosis. Additionally, we collected all reported cases of pseudoaneurysm associated with hip fractures. We reviewed the literature regarding the incidence, treatment, and prognosis for the same. Acute vascular injury was probably caused by the spikes of fractured lesser trochanter which was found to be displaced superomedially. All trochanteric fractures especially those with displaced lesser trochanter fragment should be closely watched for the possibility of vascular injury. Early diagnosis and treatment in a staged manner can prevent the catastrophic vascular event and hence the limb.
Highlights
Arterial injuries in the vicinity of proximal femur have been reported after total hip replacement, DHS fixation [1, 2], nailplate fixation [3, 4], external fixation, and gamma nailing [5, 6] for proximal femoral fractures
We share our experience in one case with intertrochanteric fracture, two week following his development of an intramuscular hematoma and pseudoaneurysm emphasizing the need for a high-grade clinical suspicion for such vascular injuries while dealing with hip fractures
The arteria profunda femoris is a large branch of femoral artery arising 3.5 cm distal to the inguinal ligament (Figure 2)
Summary
Arterial injuries in the vicinity of proximal femur have been reported after total hip replacement, DHS fixation [1, 2], nailplate fixation [3, 4], external fixation, and gamma nailing [5, 6] for proximal femoral fractures. An arterial injury following impalement due to a trochanteric hip fracture-fragment per se has been rarely documented [5, 7,8,9,10]. We share our experience in one case with intertrochanteric fracture, two week following his development of an intramuscular hematoma and pseudoaneurysm emphasizing the need for a high-grade clinical suspicion for such vascular injuries while dealing with hip fractures
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
