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The man with two broken hips: neck of femur fracture with previous Girdlestone arthroplasty
  1. Nainesha Kulkarni1,
  2. Abhishek Chitnis2
  1. 1School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
  2. 2Department of Acute Medicine, Homerton University Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Miss Nainesha Kulkarni, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester M13 9PT, UK; nainesha.kulkarni{at}student.manchester.ac.uk

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A 48-year-old man presented to the accident and emergency department following a mechanical fall. He complained of right-sided hip pain, and reported inability to mobilise or weight bear. On physical examination, his right hip was noted to be shortened, abducted and externally rotated; a pelvic X-ray was therefore consulted (figure 1).

Figure 1

Pelvic X-ray displaying right neck of femur fracture, and evidence …

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