Pipkin fracture dislocation with ipsilateral lateral collateral ligament and medial collateral ligament avulsion injury-a rare case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20253439Keywords:
Pipkin fracture, Femoral head fracture, Hip dislocation, MCL avulsion, LCL avulsion, Multiligament knee injuryAbstract
Pipkin fractures are complex femoral head fractures typically associated with posterior hip dislocation. Concomitant injuries of the knee ligaments, especially involving both the medial collateral ligament (MCL) and lateral collateral ligament (LCL), are exceedingly rare. Early diagnosis and coordinated management are critical to preserving joint function and preventing long-term complications such as osteonecrosis or instability. We report an unusual case of a high-energy trauma resulting in a Pipkin type II fracture-dislocation with ipsilateral LCL and MCL avulsion injuries.
Metrics
References
Enocson A, Wolf O. Pipkin fractures: epidemiology and outcome. Europ J Trauma Emergency Surg. 2022;48(5):4113-8. DOI: https://doi.org/10.1007/s00068-022-01951-w
Menger MM, Braun BJ, Herath SC, Küper MA, Rollmann MF, Histing T. Fractures of the femoral head: a narrative review. EFORT Open Rev. 2021;6(11):1122-31. DOI: https://doi.org/10.1302/2058-5241.6.210034
Engel JL, Johnsen P, Patel NK, Satpathy J, Mounasamy V. Pipkin type IV femoral head fractures: a case series and review of literature. Eur J Orthop Surg Traumatol. 2020;31(4):791-5. DOI: https://doi.org/10.1007/s00590-020-02838-5
Shakya S, Chen J, Sun J, Xiang Z. Management and outcome of patients with femoral head fractures: the mid-term follow-up with injuries and associated prognostic factors. BMC Musculoskeletal Disord. 2023;24(1):10. DOI: https://doi.org/10.1186/s12891-023-06317-w
Wang S, Li B, Li J, Huang F, Xiang Z, Zhong G, et al. Middle-term follow-up results of Pipkin type IV femoral head fracture patients treated by reconstruction plate and bioabsorbable screws. Chin J Traumatol. 2018;21(3):170-5. DOI: https://doi.org/10.1016/j.cjtee.2017.12.004
Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am. 1976;58(2):173-9. DOI: https://doi.org/10.2106/00004623-197658020-00002
Lasmar RCP, de Almeida AM, Serbino JW Jr, da Albuquerque RF, Hernandez AJ. Importance of the different posterolateral knee static stabilizers: biomechanical study. Clinics. 2010;65(4):433-40. DOI: https://doi.org/10.1590/S1807-59322010000400013
Guo D, Yu H, Huang B, Gao X, Qin Y, Liu X. Avulsion of the femoral attachment of the medial collateral ligament in the setting of knee multiligament injury: a case report. Medicine (Baltimore) 2019;98:e18376. DOI: https://doi.org/10.1097/MD.0000000000018376
Haddad S, Sallent A, Minguell J, Castellet E. Avulsion of the femoral attachment of the medial collateral ligament of the knee associated to complete tear of the posterior cruciate ligament: a case report. Surg J (N Y). 2017;3:e38-41. DOI: https://doi.org/10.1055/s-0037-1599256
Downloads
Published
How to Cite
Issue
Section
