A rare variant in Pipkin classification- A technical note

Vishal Kumar, Rohit Kansal, Himanshu Bhayana, Sameer Aggarwal

Pdf Page Numbers :- 123-127

Vishal Kumar^1,*, Rohit Kansal¹, Himanshu Bhayana¹ and Sameer Aggarwal¹

¹Department of Orthopedics, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India

*Corresponding author: Dr. Himanshu Bhayana, Department of Orthopaedics, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh-160012, India. Email: Himanshu.bhayana.mamc@gmail.com

Received 20 June 2019; Revised 20 August 2019; Accepted 2 September 2019; Published 13 September 2019

Citation: Kumar V, Kansal R, Bhayana H, Aggarwal S. A rare variant in Pipkin classification- A technical note. J Med Sci Res. 2019; 7(4):123-127. DOI: http://dx.doi.org/10.17727/JMSR.2019/7-22

Copyright: © 2019 Kumar V et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Femoral head fracture is a relatively uncommon entity. Pipkins provided classification of femoral head fractures into four types; as per the classification, type 1 includes infrafoveal fragment and type 2 includes supra foveal fragment. There is no mention of transfoveal variety in the literature. We present a case of 22-year-old male who sustained posterior hip dislocation with femoral head fracture, which appeared to be type 2 on radiological investigations. Per operatively the fracture extended both proximal and distal to fovea, which we termed it as “transfoveal” variety. The patient was managed surgically by Ganz surgical dislocation of hip, and internal fixation using 2 HCS. Trans-foveal variety of femoral head fracture is hitherto unknown variety which has not been published in the literature so far as per the authors.

Keywords: Femoral head fracture; Pipkin classification; transfoveal variety