Open AccessSimultaneous bilateral isolated greater trochanter fracture
Author(s) -
Maruti Kambali,
Venugopal Narayanappa,
Arun Hedduru Shantappa,
N. S. Gudi,
Saive Siddhartha,
Priyamargavi Hanumantharayappa Kambali,
Mohammad Imran
Publication year - 2013
Publication title -
journal of orthopaedics and allied sciences
Language(s) - English
Resource type - Journals
eISSN - 2347-436X
pISSN - 2319-2585
DOI - 10.4103/2319-2585.125048
Subject(s) - asymptomatic , greater trochanter , medicine , etiology , surgery , lesser trochanter , trochanter , femur , osteoporosis , bone mineral
A 48-year-old woman sustained simultaneous isolated bilateral greater trochanteric fracture, following a road traffic accident. The patient presented to us 1 month after the injury. She presented with complaints of pain in the left hip and inability to walk. Roentgenograms revealed displaced comminuted bilateral greater trochanter fractures. The fracture of the left greater trochanter was reduced and fixed internally using the tension band wiring technique. The greater trochanter fracture on the right side was asymptomatic and was managed conservatively. The patient regained full range of motion and use of her hips after a postoperative follow-up of 6 months. Isolated fractures of the greater trochanter are unusual injuries. Because of their relative rarity and the unsettled controversy regarding their etiology and pathogenesis, several methods of treatment have been advocated. Furthermore, the reports of this particular type of injury are not plentiful and the average textbook coverage afforded to this entity is limited. In our study we discuss the mechanism of injury and the various treatment options available