PMC4783562_01
Immediate postoperative AP view radiograph of the right hip demonstrating good position of the anterograde intramedullary nail.
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The femur fracture was treated with intramedullary fixation the following day (Figure 1).
The photograph shows the visible right groin prominence that appeared at about 3 weeks postoperatively.
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On physical examination the patient presented with a palpable and visible mass of about 3 x 3 cm, hard and tender to palpation (Figure 2).
The AP view radiograph of the right hip demonstrates proximal migration of the lesser trochanter.
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On postoperative day 40 anteroposterior and lateral X-rays were obtained demonstrating cephalad migration of the lesser trochanter (Figure 3).
The angio-CT scan demonstrates proximal migration of the lesser trochanter in the femoral triangle of Scarpa without neurovascular involvement.
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For such reason an angio-computed tomography (CT) was obtained to assess fragment location and femoral vascular involvement (Figure 4).