Accident
A 33 years old man was admitted to Emergency Department after a motorcycle accident and CT of the pelvis revealed dislocation of the left hip and a three-part trochanteric fracture of the proximal left femur (Panel A, white arrow), with displacement of the femoral head and neck fragment into the scrotum (Panels A and B, yellow arrow). There were also fractures of the left anterior pelvic ring and acetabulum (Panels A and B, blue arrow) femoral head and neck fragment was retrieved by means of a direct scrotal incision (Panel C), and the fractures were treated with open reduction and internal fixation (Panel D). The patient had no urologic sequelae. After 8 weeks of limited weight-bearing, the patient was able to walk with a cane. At 14 months of follow-up, a CT scan showed vital bone structure and still no avascular necrosis of the femoral head, and the patient was able to walk freely without a cane.
