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Trauma
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Hip Fracture-Dislocations

Hip Trauma

A 30-year-old male is brought to the trauma bay after a motorcycle accident. He has a posterior hip dislocation with an associated femoral head fracture. After successful closed reduction, CT scan shows a femoral head fracture fragment inferior to the fovea capitis, no acetabular fracture, and a congruent hip joint. Regarding the Pipkin classification of femoral head fractures associated with hip dislocation:

Mark each as TRUE or FALSE

A

Pipkin Type I describes a femoral head fracture inferior to the fovea capitis (below the weightbeari...

B

Pipkin Type III describes a Type I or II femoral head fracture associated with a femoral neck fractu...

C

All Pipkin fractures require open reduction and internal fixation regardless of fragment size or loc...

D

Post-reduction CT is essential to assess fragment position, joint congruity, and associated acetabul...

E

The mechanism of femoral head fracture is impaction of the femoral head against the posterior acetab...

Answer the questions to see explanations

Click T (True) or F (False) for each option