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Updated: Jul 12, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Intertrochanteric Fracture Secondary to Solitary Osteochondroma: A Case Report and Literature Review
Nabil Alassaf1, Turki Alhumaidi Alshammari1, Ahmed Essa1
1Department of Orthopedic Surgery, Hail Health Cluster, Hail, Saudi Arabia.
Introduction:
Solitary femoral neck osteochondroma (SFNO) usually presents with pain, impingement, or sciatic neuropathy. Concomitant fracture on presentation is rare. This paper describes the treatment approach in such a situation.
Case Report:
A 23-year-old male presented after a motor vehicle collision and complained of right hip pain. Clinical assessment and radiological investigations revealed an isolated intertrochanteric femoral fracture adjacent to a posteromedial SFNO. The lesion was resected through a lateral approach, which facilitated simultaneous fracture stabilization with a cephalomedullary nail. A histological sample confirmed the diagnosis. The fracture healed uneventfully with no recurrence of the lesion.
Conclusion:
Asymptomatic posteromedial SFNO presenting with a fracture may respond well to fixation and removal through a lateral approach.