- Email: [email protected]
A hip diagnosis! Acute Duverney fracture
Visual Journal of Emergency Medicine 7 (2017) 30–31
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
A hip diagnosis! Acute Duverney fracture a,⁎
b
MARK
c
Alan Lucerna , James Espinosa , Russell Hartman a b c
Combined Emergency Medicine/Internal Medicine Rowan University SOM/Kennedy University Hospital, Stratford, NJ, USA Department of Emergency Medicine Rowan University SOM/Kennedy University Hospital, Stratford, NJ, USA Department of Emergency Medicine Kennedy University Hospital, Stratford, NJ, USA
A R T I C L E I N F O Keywords: Duverney fracture Iliac wing fracture Hip fracture Pelvic fracture
A 64-year-old male presented to the Emergency Department (ED) with pain in his right hip and pelvis two days after a fall of 4.5 feet from his attic steps. He fell onto his right side. The pain had not improved at home. Patient reported increasing pain with ambulation in the area of
Fig. 1. CT scan of the abdomen and pelvis 3D reconstruction showing a right iliac bone comminuted displaced fracture (red arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
⁎
the right hip. A CT scan of the abdomen and pelvis showed a comminuted displaced fracture of the right iliac bone. There were no other notable injuries. After an ED consultation with the Orthopedic Service, the patient was discharged home with instructions for weight bearing with a walker and with outpatient Orthopedic follow up.
Fig. 2. Pelvic x-ray showing fracture of the right iliac bone (red arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
Correspondence to: Department of Emergency Medicine, Rowan University SOM/Kennedy University Hospital, 18 East Laurel Road, Stratford, NJ 08084, United States. E-mail address: [email protected] (A. Lucerna).
http://dx.doi.org/10.1016/j.visj.2017.01.019 Received 29 December 2016; Accepted 7 January 2017 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Visual Journal of Emergency Medicine 7 (2017) 30–31
A. Lucerna et al.
Reference
Duverney fractures are a generally stable type of pelvic fracture, comprised of an isolated iliac wing fracture, most commonly resulting from a direct trauma. [French Surgeon, Dr. Joseph Guichard Duverney, 1648–1730].1 Surgery may be necessary in the event of severe comminution or other complications. (Figs. 1 and 2).
1 Weerakkody Y, Gaillard F et al. Duverney fracture. 〈https://radiopaedia.org/articles/ duverney-fracture〉.
31
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
A hip diagnosis! Acute Duverney fracture a,⁎
b
MARK
c
Alan Lucerna , James Espinosa , Russell Hartman a b c
Combined Emergency Medicine/Internal Medicine Rowan University SOM/Kennedy University Hospital, Stratford, NJ, USA Department of Emergency Medicine Rowan University SOM/Kennedy University Hospital, Stratford, NJ, USA Department of Emergency Medicine Kennedy University Hospital, Stratford, NJ, USA
A R T I C L E I N F O Keywords: Duverney fracture Iliac wing fracture Hip fracture Pelvic fracture
A 64-year-old male presented to the Emergency Department (ED) with pain in his right hip and pelvis two days after a fall of 4.5 feet from his attic steps. He fell onto his right side. The pain had not improved at home. Patient reported increasing pain with ambulation in the area of
Fig. 1. CT scan of the abdomen and pelvis 3D reconstruction showing a right iliac bone comminuted displaced fracture (red arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
⁎
the right hip. A CT scan of the abdomen and pelvis showed a comminuted displaced fracture of the right iliac bone. There were no other notable injuries. After an ED consultation with the Orthopedic Service, the patient was discharged home with instructions for weight bearing with a walker and with outpatient Orthopedic follow up.
Fig. 2. Pelvic x-ray showing fracture of the right iliac bone (red arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
Correspondence to: Department of Emergency Medicine, Rowan University SOM/Kennedy University Hospital, 18 East Laurel Road, Stratford, NJ 08084, United States. E-mail address: [email protected] (A. Lucerna).
http://dx.doi.org/10.1016/j.visj.2017.01.019 Received 29 December 2016; Accepted 7 January 2017 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Visual Journal of Emergency Medicine 7 (2017) 30–31
A. Lucerna et al.
Reference
Duverney fractures are a generally stable type of pelvic fracture, comprised of an isolated iliac wing fracture, most commonly resulting from a direct trauma. [French Surgeon, Dr. Joseph Guichard Duverney, 1648–1730].1 Surgery may be necessary in the event of severe comminution or other complications. (Figs. 1 and 2).
1 Weerakkody Y, Gaillard F et al. Duverney fracture. 〈https://radiopaedia.org/articles/ duverney-fracture〉.
31