10 November 2024
: Case report
Management and Outcomes of Anterior Hip Dislocation with Multiple Comminuted Fractures from a Vehicular Crush Injury in a 44-Year-Old Woman
Challenging differential diagnosis, Rare disease
Dian Wang1ABDEF, Ding Xu2DEF, Jingwei Xiao2BF, Guoping Pan3BD, Ming Li2*DOI: 10.12659/AJCR.944899
Am J Case Rep 2024; 25:e944899
Figure 1. A 44-year-old female with a crushed wheel injury and multiple comminuted pelvic fractures (OTA type C-3.3) was evaluated. The long black arrow indicates the dislocated femoral head, and the short black arrow indicates the obturator fracture. The white arrow indicates the fracture site. (A) Anteroposterior radiograph after injury. (B) Anteroposterior radiograph of the pelvis after external fixation. (C) The left sacral foraminal region was separated and displaced, and the right sacral foraminal region was compressed, indicating a windswept injury. (D) 3-Dimensional (3D) reconstruction of the spine CT image showing L1-5 bilateral transverse process fractures. (E) Left lateral malleolar fracture. (F) Right femoral lateral condyle fracture. (G) Knee X-ray showing a significant increase in the lateral space. (H) 3D reconstruction of the pelvic CT image. (I) 3D-printed model showing that the femoral head entered the obturator foramen and the superior and inferior ramus of the pubic fractures.






