Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Figure A
3%
83/2395
Figure B
21%
514/2395
Figure C
17%
416/2395
Figure D
56%
1345/2395
Figure E
1%
25/2395
Select Answer to see Preferred Response
Figure D represents a Pipkin II femoral head fracture, which is defined as a fracture which is superior to the fovea. Differentiation between Pipkin I and Pipkin II fractures can be important, as suprafoveal injuries often require surgical fixation. Illustration A demonstrates the Pipkin fracture types. Droll et al review femoral head fracture evaluation and treatment. They discuss non-operative indications (typically reserved for Pipkin I injuries) which include an anatomic or near anatomic reduction (<2 mm) of the femoral head fragment, a stable hip, and no interposed fragments preventing a congruent hip joint. They also state that an anterior surgical approach is preferred for fixation of Pipkin II type injuries. Pipkin discusses the evaluation and treatment of hip fracture dislocations as defined by the Stewart and Milford classification scheme. He focuses on Grade IV injuries, which at the time lacked an appropriate treatment algorithm. Incorrect Answers: 1,2-Figures A and B show Pipkin IV fractures, due to the presence of an associated acetabular fracture. 3-Figure C shows a Pipkin I fracture, as the fracture is infra-foveal 5-Figure E shows an example of a Pipkin III injury due to the presence of an associated femoral neck fracture.
3.6
(34)
Please Login to add comment