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 weightbearing surface
  • type II: fracture proximal 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
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