Hip fractures associated with concomitant upper limb fractures: a case series

Abstract

Elderly patients are at risk of fractures of distal radius, proximal humerus, spine and hip even due to trivial low energy falls. Hip injuries are commonly associated with concomitant ipsilateral upper limb injury because of a protective reflex of shielding their body from fall using their shoulder or outstretched hand. Here we presented a case series of 3 elderly patients who came to us with hip fractures and concomitant ipsilateral upper limb fractures. The injuries were adequately managed with splintage and operative procedures. Post-operatively mobilization was challenging. But patients were successfully mobilized with the help of relatives and physiotherapists. Concomitant hip fractures with associated ipsilateral upper limb fractures are quite common in elderly and difficult to treat. Post-operatively mobilization of patient and functional outcome is hampered. Proper counselling by operating surgeon, physiotherapy and postoperative rehabilitation with the help of relatives and assisting devices provides good outcome. In cases of hip trauma in old age, one should always thoroughly examine and screen for upper limb injuries. So that early appropriate treatment and mobilization can be done with good functional outcome.