case_images: PMC10907884_01
case_images: (A) Pre-op AP pelvis and femur X-rays demonstrating the absence of AVN at the femoral head at the time of initial injury; (B) isolated femoral shaft fracture with no involvement of intracapsular proximal femur.. FH, femoral head; AC, acetabulum; PF, piriformis fossa; GT, greater trochanter; FS, femoral shaft; AVN, avascular necrosis; AP, anteroposterior
case_images: cureus-0016-00000053357-i01.jpg
case_images: PMC10907884_01_cureus-0016-00000053357-i01.jpg
case_images: FIG1
case_images: There was no evidence of preexisting AVN of the femoral head on the anteroposterior pelvis X-ray taken in the emergency department following the injury (Figures 1A-1B).
case_images: Immediate post-op images at the time of fixation showing the nail inserted using the trochanteric entry point: (A) AP view, (B) lateral view, and (C) oblique view.. FH, femoral head; AC, acetabulum; PF, piriformis fossa; GT, greater trochanter; FS, femoral shaft
case_images: cureus-0016-00000053357-i02.jpg
case_images: PMC10907884_01_cureus-0016-00000053357-i02.jpg
case_images: FIG2
case_images: Pelvic X-rays obtained five years post-surgery showing AVN of the femoral head with a crescent sign and cortical collapse.. FH, femoral head; AC, acetabulum; PF, piriformis fossa; GT, greater trochanter; FS, femoral shaft; AVN, avascular necrosis
case_images: cureus-0016-00000053357-i03.jpg
case_images: PMC10907884_01_cureus-0016-00000053357-i03.jpg
case_images: FIG3
case_images: CT scan confirming AVN of the femoral head: (A) coronal plane, (B) axial plane, and (C) sagittal plane.. FH, femoral head; AC, acetabulum; PF, piriformis fossa; GT, greater trochanter; FS, femoral shaft; AVN, avascular necrosis
case_images: cureus-0016-00000053357-i04.jpg
case_images: PMC10907884_01_cureus-0016-00000053357-i04.jpg
case_images: FIG4