Nonpathological Lesser Trochanter Fracture in Adult: Case Report and Brief Review of Literature

Abstract

Lesser trochanter fractures are rare in adult bones. Few cases have been reported in the literature. When fracture of lesser trochanter is met in patients with closed growth plates, it is likely to be precursor of a silent neoplastic process. A case of lesser trochanter fracture in middle aged female with traumatic aetiology is presented here, which came out to be non-pathological despite high degree of suspicion for contrary. Patient responded positively to conservative line of treatment. Correct evaluation and anticipation of further complication take precedence in case rather than rarity.

Keywords: Avulsion fracture; Pathological fracture; Silent neoplastic process.

[Table/Fig-1]:

Radiograph of pelvis showing displaced lesser trochanter avulsion without evidence of local pathological bony lesion and contralateral undisplaced inferior pubic rami fracture

[Table/Fig-2]:

Follow up radiograph of hip at 4 months showing displaced lesser trochantric fracture with some sclerosis at fracture margins but without any evidence of pathological process like lysis, new bone formation