Femoral neck fracture in association with low-energy pelvic ring fractures in an elderly patient.


Journal Article

Concomitant fractures of the pelvic ring and proximal femur in the setting of low-energy trauma are rare but not mutually exclusive. An 82-year-old woman, without prior hip pain, presented to our institution after a fall from standing height. Ipsilateral pubic rami and sacral ala fractures were diagnosed with plain radiographs and computed tomography scanning, respectively, and corroborated by physical examination. No further imaging was performed in the emergency department. However, with adequate in-house pain control, the patient's complaints and physical examination were also indicative of a hip fracture. A subsequent magnetic resonance imaging study revealed a nondisplaced ipsilateral intertrochanteric femur fracture. Previously, it has been reported that occult fractures of the hip and pelvic ring appear to be mutually exclusive. Moreover, if acute fractures of the pubic ramus are identified, it has been recommended that no further investigation is warranted to rule out fracture of the hip. This case report demonstrates that low-energy pelvic ring and hip fractures can occur together. Sound clinical acumen is imperative and must supercede literature reports when providing patient care.

Full Text

Duke Authors

Cited Authors

  • Adams, SB; Mayer, SW; Hamming, MG; Zura, RD

Published Date

  • July 2010

Published In

Volume / Issue

  • 28 / 6

Start / End Page

  • 746.e1 - 746.e3

PubMed ID

  • 20637397

Pubmed Central ID

  • 20637397

Electronic International Standard Serial Number (EISSN)

  • 1532-8171

Digital Object Identifier (DOI)

  • 10.1016/j.ajem.2009.09.026


  • eng

Conference Location

  • United States