case_images: PMC3941085_01
case_images: AP (A) & lateral (B) views of the pelvis and right hip 3
  weeks prior to current ED presentation.
case_images: TOORTHJ-8-27_F1.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F1.jpg
case_images: F1
case_images: At that time, radiographs were performed of the pelvis, hip, and sacroiliac joints (see Fig. 1).
case_images: AP (A) & lateral (B) views at the time of current
  presentation.
case_images: TOORTHJ-8-27_F2.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F2.jpg
case_images: F2
case_images: Radiographs at the time of the current ED presentation are seen in Fig. (2). The orthopedic service was notified and x-rays were ordered to accompany these CT images as seen in Fig. (2).
case_images: Past medical (A), surgical (B), and medication (C)
  histories.
case_images: TOORTHJ-8-27_F3.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F3.jpg
case_images: F3
case_images: The patient had a complex past medical and surgical history as summarized in Fig. (3).
case_images: Coronal (A) and Axial (B) CT images at the time of
  presentation.
case_images: TOORTHJ-8-27_F4.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F4.jpg
case_images: F4
case_images: While in the emergency room, the patient initially had a CT scan of her right hip that revealed a minimally displaced femoral neck fracture as seen in Fig. (4).
case_images: AP (A) and lateral (B, C) intraoperative fluoroscopic
  views during pinning surgery.
case_images: TOORTHJ-8-27_F5.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F5.jpg
case_images: F5
case_images: Gentle closed reduction with a Leadbetter manuerver was performed and a percutaneous pinning of the right hip was done on a fracture table utilizing 6.5 mm cannulated screws in a reverse-triangle orientation (see Fig. 5).
case_images: AP (A) & lateral (B) x-rays at 6 months post operatively.
case_images: TOORTHJ-8-27_F6.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F6.jpg
case_images: F6
case_images: Some mild settling of the fracture was seen on serial radiographs, however, no signs of avascular necrosis of the femoral head were appreciated (see Fig. 6).
case_images: AP (A) & lateral (B) views 7 months post op showing
  mottled bone within the femoral neck.
case_images: TOORTHJ-8-27_F7.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F7.jpg
case_images: F7
case_images: By the seven month post operative visit, the patient reported increasing pain and radiographs at that time were concerning for either a nonunion or infectious process (see Fig. 7).
case_images: A Coronal T2 weighted STIR image demonstrating an 8.9
  cm by 3.8 cm marrow replacing lesion of the proximal right femur.
case_images: TOORTHJ-8-27_F8.jpg
case_images: PMC3941085_01_TOORTHJ-8-27_F8.jpg
case_images: F8
case_images: An MRI was ordered and can be seen in Fig. (8).