Peringuinal luxation of the femoral head and neck

In high-energy accidents, even exceptional multifragmentary fractures can be found in young and healthy individuals. We hereby report a case of a traumatic proximal femur fracture with dislocation of the femoral head and neck fragment to the scrotum. Although the blood supply to the fragment must have been destroyed during the displacement to the scrotum, there were no radiologic signs of femoral head necrosis. Initial open reduction and internal fixation failed within 7 weeks. The revision with a proximal femur nail was stable. A fast progressing osteoarthritis due to accompanying acetabular fracture urges for a total hip replacement.