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False Femoral Neck Fracture Detected during Shaft Nailing: A Mach Band Effect

 Kyu Hyun Yang  ;  Sungjun Kim  ;  Ji Do Jeong 
 Yonsei Medical Journal, Vol.54(3) : 803-805, 2013 
Journal Title
 Yonsei Medical Journal 
Issue Date
Femoral neck fractures are associated with femoral shaft fractures in 1% to 9% of cases. Undisplaced neck fractures are susceptible to displacement during shaft nailing. We report the case of a 57-year-old male patient in whom we performed standard intramedullary nailing for a femoral shaft fracture. In doing so, we identified a vertical radiolucent line at the femoral neck, which was thought to be further displacement of a hidden silent fracture or an iatrogenic fracture that developed during nail insertion. Consequently, we decided to switch to reconstructive femoral nailing. Postoperative hip imaging failed to show the femoral neck fracture that we saw in the operating room. Here, we discuss the aforementioned case and review the literature concerning this artifact.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sungjun(김성준) ORCID logo https://orcid.org/0000-0002-7876-7901
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
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