Trauma and Emergency Orthopedics

A hip pointer refers to a contusion to the iliac crest or the greater trochanter of the femur caused typically by a direct blow or fall.  Other involved structures may include the tensor fascia lata, the external oblique muscle and the greater trochanter of the femur. Severe cases may have In severe cases a hematoma, causing […]

Hip dislocation is a less common injury. Therefore, very little has been written about neglected traumatic hip dislocations. Most of the literature is in form of case reports only. The common causes of a neglected hip dislocation are the presence of a femoral shaft fracture that causes injury being missed. Delay in seeking health care, […]

Slipped femoral capital epiphysis is the disorder of the proximal femoral physis that leads to slippage of the epiphysis relative to the femoral neck. It is one of commonest hip abnormalities in adolescence. It affects both the hips in about 20% of cases. The incidence for slipped capital femoral epiphysis is about 10 cases per […]

Proximal femur fractures are fractures that occur in the femur in the hip region. These fractures are further divided into different subsets depending on the specific site involved. Proximal femur fractures tend to occur in two populations – in older patients where these result from low energy trauma in osteoporotic bones and in younger patients […]

Subtrochanteric fractures are fractures of proximal femur below lesser trochanter. Subtrochanteric region is typically defined as the area from lesser trochanter to 5cm distal to it. Subtrochanteric fracture is between the lesser trochanter and the isthmus of the femoral shaft. These account for approximately 5% to 34% of all hip fractures. Fractures with an associated […]

Femoral neck fractures or fractures of the neck of the femur are fractures of the proximal femur in the region between head of femur and intertrochanteric line. This region is called neck of femur. These injuries are common in two distinct populations – young and elderly In young patients, femoral neck fractures are also caused […]

Intertrochanteric fractures are one of the three types of hip fractures, other two being fractures of the femoral neck and subtrochanteric fractures of femur. A trochanteric hip fracture occurs along the intertrochanteric line which is the line between the greater trochanter and the lesser trochanter. Fractures of the femoral neck are proximal or cephalad to […]

Acetabular fractures are uncommon but important because they involve a major weight-bearing joint in the lower extremity.  Being intraarticular fractures, these fractures require anatomical reduction for good long-term function of the hip joint. A failure to achieve anatomical reduction could lead to the breakdown of the cartilage surface due to articular incongruity present leading to degenerative […]