PMC6174776_01
Plain X-ray of the painful hip and pelvis diagnosed a comminuted intertrochanteric hip fracture (grade 31 A2 according to the AO classification).
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A comminuted intertrochanteric hip fracture was diagnosed on a plain X-ray of the painful hip and pelvis (grade 31-A2 according to the AO classification) (Figure 1).
Plain X-ray of the right hip six weeks postoperatively showed a good position of the intramedullary nail.
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The patient was able to walk with one crutch, there was no obvious swelling of the limb, and radiographs showed a good position of the intramedullary nail (Figure 2).
Plain X-rays eight months postoperatively showed the presence of a medial mass centred over the distal locking screw with calcification of the peripheral borders, suggestive for an (infected) hematoma. Compression and severe osteolysis of the medial border of the femur were remarked.
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Compression and severe osteolysis of the medial border of the femur were seen (Figure 3).
Contrast-enhanced computed tomography (CT) with IV contrast showed an active extravasation in the hematoma which concluded to the diagnosis of pseudoaneurysm. Severe scalloping of the medial femoral cortex was confirmed.
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Contrast-enhanced computed tomography (CT) was performed, showing an active extravasation in the hematoma which led to the diagnosis of pseudoaneurysm (Figure 4).