Pipkin femoral head fracture classification
Last revised by Francis Deng on 24 Jan 2020
Citation, DOI, disclosures and article data
Citation:
Robertson P, Deng F, Weerakkody Y, et al. Pipkin femoral head fracture classification. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-31193
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rID:
31193
Article created:
23 Sep 2014,
Patsy Robertson
Disclosures:
At the time the article was created Patsy Robertson had no recorded disclosures.
View Patsy Robertson's current disclosures
Last revised:
24 Jan 2020,
Francis Deng ◉
Disclosures:
At the time the article was last revised Francis Deng had no recorded disclosures.
View Francis Deng's current disclosures
Revisions:
11 times, by
8 contributors -
see full revision history and disclosures
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Synonyms:
- Pipkin classification of femoral head fractures
- Femoral head fractures: Pipkin classification
Pipkin classification is the most commonly used classification for femoral head fractures, which are uncommon but are associated with hip dislocations.
Classification
- type I: fracture inferior to the fovea capitis, a small fracture not involving the weightbearing surface
- type II: fracture extending superior to the fovea capitis, a large fracture involving the weightbearing surface
- type III: type I or II fracture with a fracture of the femoral neck, has an increased risk of avascular necrosis
- type IV: type I or II fracture with a fracture of the acetabular wall, usually the posterior wall
References
- 1. Pipkin, Garrett 1957, Treatment of Grade IV fracture-dislocation of the hip. JBJS (Am), 39 (5): 1027-1042
- 2. Chen ZW, Zhai WL, Ding ZQ et-al. Operative versus nonoperative management of Pipkin type-II fractures associated with posterior hip dislocation. Orthopedics. 2011;34 (5): 350. doi:10.3928/01477447-20110317-09 - Pubmed citation
- 3. Chen ZW, Lin B, Zhai WL et-al. Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial. Int Orthop. 2011;35 (7): 1077-81. doi:10.1007/s00264-010-1087-4 - Free text at pubmed - Pubmed citation
- 4. Sheehan SE, Shyu JY, Weaver MJ, Sodickson AD, Khurana B. Proximal Femoral Fractures: What the Orthopedic Surgeon Wants to Know. (2015) Radiographics : a review publication of the Radiological Society of North America, Inc. 35 (5): 1563-84. doi:10.1148/rg.2015140301 - Pubmed
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