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Pipkin fracture - type IV

Case contributed by Petralli Carlo Lucius E
Diagnosis certain

Presentation

Traumatic posterior dislocation of the right hip.

Patient Data

Age: 55 years
Gender: Female
x-ray

Pipkin type IV fracture of the right hip: femoral head fracture with acetabular rim fracture.

ct

Pipkin type IV fracture of the right hip: femoral head fracture with acetabular rim fracture.

Case Discussion

Classification of Pipkin fractures

  •  type I: femoral head fracture distal/inferior to the fovea capitis
  •  type II: fracture extending proximal/superior to the fovea capitis
  •  type III: type I or II fracture associated with femoral neck fracture
  •  type IV: type I or II fracture associated with acetabular rim fracture

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