CASE - I

Pt. JAGDISH 40 Yrs. Male

Resident of Civil Lines, Kanpur
Presented with Clinical Features of :Pain in right hip region.

-12 Hours

Swelling in right hip region. - 12 Hours

Inability to bear weight on right side.

12 Hours

After getting significant trauma following fell from

height 10 ft. 12 Hours back DOI. 24.7.06
There was no other associated injury.

On Examination

Diffuse swelling was present over right hip

region.

Diffuse tenderness was present in all over right

hip region more on base of scarpas triangle and

iliac bone.

Movements of right hip were painful & restricted.

Active SLR was not present on right side.

Compression-distraction test was positive on right

side.

INVESTIGATION

Routine investigations were within normal

limits.

Radiological 1. Plain X-ray

Pelvis with both hips AP
Right hip- lateral
Judets view
2. C.T. Scan

Date :

Date :

WHAT NEXT

WHAT NEXT

What is the correct

diagnosis?
What is the condition of
weight bearing part of
acetabulum?
What is the congruity of

Pt. was operated after 7 days of injury with

ilioinguinal approach with open reduction and
internal fixation plate and screw, K- wire and S-S
wire on 31st July, 2006.

31.07.06

After 02 months of operation

23.09.06

CASE - II

Pt. DILIP KUMAR 40 Yrs. Male

Resident of Gandhi Nagar, Unnao
Presented with Clinical Features of :

Pain in left hip region.

- 24 Hours

Swelling in left hip region.

- 24 Hours

Inability to bear weight on left side. - 24

Hours

After getting significant trauma following road traffic

accident 24 Hours back. DOI- 10 July, 06
There is a associated

Head Injury.
Chest Injury
Forearm Injury left side

On Examination

Diffuse swelling was present over left hip region.

Diffuse tenderness was present in all over left hip

region more on base of scarpas triangle.

Movements of left hip were painful & restricted.

Active SLR was not present on left side.

Compression-distraction test was positive left side.

INVESTIGATION

Routine investigations were within normal

limits.

Radiological 1. Plain X-ray

Pelvis with both hips AP
Left hip- lateral
Judets view
2. C.T. Scan

WHAT NEXT

WHAT NEXT

What is the correct diagnosis?

What is the condition of weight
bearing part of acetabulum?
What is the congruity of dome of
acetabulum?

Pt. was operated after 8 days of injury with

ilioinguinal approach with open reduction and
internal fixation with screw and S-S wire on 18 th
July, 2006.

Date :

Date :

Date :

CASE - III

Pt. Vijay Nishad 17 Yrs. Male

Resident of 127/298, Julsi, Jarra, Kanpur c/o fruit
wala opp. LLR Hosp.
Presented with Clinical Features of :Pain in left hip region.

-24 Hours

Swelling in left hip region.

- 24 Hours

Inability to bear weight on left side.

- 24 Hours

After getting significant trauma following fall from

height 10 ft. 24 Hours back DOI. 18.10.06 as a result
of collision between truck and DCM.
There was no other associated injury.

On Examination

Diffuse swelling was present over left hip region.

Diffuse tenderness was present in all over left

hip region more on base of scarpas triangle and

iliac bone.

Movements of left hip were painful & restricted.

Active SLR was not present on left side.

Compression-distraction test was positive on left

side.

INVESTIGATION

Routine investigations were within normal

limits.

Radiological 1. Plain X-ray

Pelvis with both hips AP
left hip- lateral
Judets view
2. C.T. Scan

WHAT NEXT

 What is the correct

diagnosis?
What is the condition of
weight bearing part of
acetabulum?
What is the congruity of
dome of acetabulum?
What is the further

Pt. was operated after

11 days of injury with
Extended Ileo femoral
Approach with open
reduction and internal
fixation plate and
screw, and S-S wire on
30-10-06.

Immediate Post Operative X-