Presentation
Fell at home. SInce then, cannot get up. Reports an "old fracture on the left" he refused to have fixed and which healed spontaneously.
Patient Data
The head of the left femur appears angulated, suggesting a femoral neck fracture.
Old left femoral neck fracture, with cervical shortening and a posteromedial position of the femoral head in relation to the neck.
Small hematoma in the lateral aspect of the left proximal thigh between the vastus lateralis, tensor fasciae latae, and ITB.
T1-hypointense fracture line in the left femoral intertrochanteric zone, surrounded by mild intermedullary edema. The fracture line involves the greater trochanter but does not extend to the medial cortex.
Old fracture through the left femoral neck, with shortening of the neck and a posteromedial position of the femoral head in relation to the neck. Minimal subcortical intramedullary edema at the medial aspect of the femoral head and the anterior aspect of the neck - possibly minimal bone contusion. No evidence of avascular necrosis.
Soft tissue edema around the fracture site without evidence of gluteal tendon rupture.
Minimal hematoma in the lateral aspect of the left proximal thigh between the vastus lateralis, tensor fasciae latae, and ITB.
Articular surfaces appear normal, femoral heads normally positioned.
Small amount of interarticular fluid.
Neurovascular bundles all appear normal.
In summary: nondisplaced incomplete intertrocanteric fracture.
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