Pipkin fracture - type IV

Discussion:

Pipkin IV fracture of the left femoral head.

Classification

  • type I: fracture distal to the fovea capitis, a small fracture not involving the weight-bearing surface

  • type II: fracture proximal to the fovea capitis, a large fracture involving the weight-bearing 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

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