{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T17:23:31Z","timestamp":1775841811679,"version":"3.50.1"},"reference-count":26,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,22]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>The combination of posterior hip dislocation with an ipsilateral femoral head and shaft fractures is unusual. While cases of concomitant fractures of femoral head and shaft have been previously reported, the treatment of such injuries is challenging. Presence of an associated hip dislocation further complicates the matter. A timely diagnosis and treatment are crucial to have a good outcome.<\/jats:p>\n               <jats:p>We are presenting the case of a 20-year-old man who sustained a traumatic posterior hip dislocation with ipsilateral femoral shaft and femur head fractures. After reducing the hip, we fixed the femoral shaft with a retrograde femur nail and the femoral head by the trochanteric flip approach in the same sitting. The patient returned to his pre-injury occupation after 4 months. He has been doing well until his last follow-up, 1\u2009year after the surgery, thus emphasising the utility of following basic principles of trauma management in the management of unusual injuries.<\/jats:p>","DOI":"10.1136\/bcr-2021-244453","type":"journal-article","created":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T12:45:22Z","timestamp":1629981922000},"page":"e244453","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Posterior hip dislocation associated with concomitant ipsilateral femoral head and shaft fractures: an unusual combination of injuries"],"prefix":"10.1136","volume":"14","author":[{"given":"Deepak","family":"Chouhan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kashmiri hospital and Heart care centre, Sunam, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6731-7211","authenticated-orcid":false,"given":"Prateek","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4609-6891","authenticated-orcid":false,"given":"Mohammed Tahir","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay Kumar","family":"Digge","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,26]]},"reference":[{"key":"2025082722033506000_14.8.e244453.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000020394.32496.52"},{"key":"2025082722033506000_14.8.e244453.2","first-page":"91","article-title":"Traumatic hip dislocation--a review","volume":"68","author":"Sanders","year":"2010","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"2025082722033506000_14.8.e244453.3","first-page":"44","article-title":"Posterior Hip Dislocation with Ipsilateral Femoral Head and Shaft Fracture - Using a Temporary External Fixator as a Method for Closed Reduction","volume":"6","author":"Alhammoud","year":"2016","journal-title":"J Orthop Case Rep"},{"key":"2025082722033506000_14.8.e244453.4","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/BF01682494","article-title":"Posterior dislocation of the hip with concomitant ipsilateral fractures of both the femoral head and shaft: a case report","volume":"11","author":"Galois","year":"2001","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"2025082722033506000_14.8.e244453.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-005-0056-9"},{"key":"2025082722033506000_14.8.e244453.6","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000419"},{"key":"2025082722033506000_14.8.e244453.7","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1080\/000164701753541998","article-title":"Clinical and radiographic outcome of femoral head fractures: 30 patients followed for 3-10 years","volume":"72","author":"Yoon","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"2025082722033506000_14.8.e244453.8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B8.11964"},{"key":"2025082722033506000_14.8.e244453.9","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1016\/j.otsr.2012.11.007","article-title":"Fracture-dislocations of the femoral head","volume":"99","author":"Chiron","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"key":"2025082722033506000_14.8.e244453.10","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2012.10.14"},{"key":"2025082722033506000_14.8.e244453.11","doi-asserted-by":"crossref","first-page":"571","DOI":"10.4103\/0019-5413.189614","article-title":"Posterior dislocation of hip with ipsilateral intertrochanteric fracture: a report of two cases","volume":"50","author":"Ul Haq","year":"2016","journal-title":"Indian J Orthop"},{"key":"2025082722033506000_14.8.e244453.12","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00003086-200008000-00007","article-title":"A review of the treatment of hip dislocations associated with acetabular fractures","volume":"377","author":"Alonso","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"2025082722033506000_14.8.e244453.13","first-page":"3","article-title":"Ipsilateral Posterior Hip Dislocation and Femur Shaft Fracture - A Rare Presentation","volume":"10","author":"Iftekhar","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"2025082722033506000_14.8.e244453.14","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1302\/0301-620X.49B2.293","article-title":"Unrecognised dislocation of the hip in fractures of the femoral shaft","volume":"49","author":"Helal","year":"1967","journal-title":"J Bone Joint Surg Br"},{"key":"2025082722033506000_14.8.e244453.15","doi-asserted-by":"crossref","first-page":"731","DOI":"10.2106\/00004623-195133030-00022","article-title":"Dislocation of the hip combined with fracture of the shaft of the femur on the same side","volume":"33-A","author":"Dehne","year":"1951","journal-title":"J Bone Joint Surg Am"},{"key":"2025082722033506000_14.8.e244453.16","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/00003086-197801000-00025","article-title":"Traumatic hip dislocation with ipsilateral femoral shaft fractures","volume":"130","author":"Schoenecker","year":"1978","journal-title":"Clin Orthop Relat Res"},{"key":"2025082722033506000_14.8.e244453.17","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.2106\/00004623-195436060-00014","article-title":"Bilateral traumatic posterior dislocation of the hip complicated by bilateral fracture of the femoral shaft: report of a case","volume":"36-A","author":"Ingram","year":"1954","journal-title":"J Bone Joint Surg Am"},{"key":"2025082722033506000_14.8.e244453.18","doi-asserted-by":"crossref","first-page":"185","DOI":"10.3109\/17453678408992334","article-title":"Hip dislocation combined with femoral shaft fracture. Two cases treated with the Lardennois hoop","volume":"55","author":"Verdonk","year":"1984","journal-title":"Acta Orthop Scand"},{"key":"2025082722033506000_14.8.e244453.19","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/0020-1383(82)90091-2","article-title":"Traumatic dislocation of the hip with ipsilateral femoral shaft fracture: a method of treatment","volume":"13","author":"Harper","year":"1982","journal-title":"Injury"},{"key":"2025082722033506000_14.8.e244453.20","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1007\/s00264-010-1087-4","article-title":"Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial","volume":"35","author":"Chen","year":"2011","journal-title":"Int Orthop"},{"key":"2025082722033506000_14.8.e244453.21","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/j.injury.2009.10.024","article-title":"Management, complications and clinical results of femoral head fractures","volume":"40","author":"Giannoudis","year":"2009","journal-title":"Injury"},{"key":"2025082722033506000_14.8.e244453.22","first-page":"1260","article-title":"Mid- and long-term clinical effects of trochanteric FLIP osteotomy for treatment of Pipkin I and II femoral head fractures","volume":"33","author":"Lin","year":"2013","journal-title":"J South Med Univ"},{"key":"2025082722033506000_14.8.e244453.23","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1007\/s00776-015-0732-6","article-title":"Clinical and radiographic outcomes of femoral head fractures: excision vs. fixation of fragment in Pipkin type I: what is the optimal choice for femoral head fracture?","volume":"20","author":"Park","year":"2015","journal-title":"J Orthop Sci"},{"key":"2025082722033506000_14.8.e244453.24","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00402-014-1960-5","article-title":"Operative treatment of displaced Pipkin type I and II femoral head fractures","volume":"134","author":"Mostafa","year":"2014","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025082722033506000_14.8.e244453.25","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00402-015-2169-y","article-title":"The effect of antegrade femoral nailing on femoral head perfusion: a comparison of piriformis fossa and trochanteric entry points","volume":"135","author":"Schottel","year":"2015","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025082722033506000_14.8.e244453.26","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s12306-012-0182-7","article-title":"Fractures of the femoral head: a long-term follow-up study","volume":"96","author":"Oransky","year":"2012","journal-title":"Musculoskelet Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:03:45Z","timestamp":1756357425000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":26,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,26]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bcr-2021-244453"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244453","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}