Case: Lower limb radiograph #41254467
Lower limb Beginner
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: Hellerhoff via Wikimedia Commons · CC BY-SA 3.0 · source · resized and converted to WebP
Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Hip (proximal femoral) fracture
What to look for in hip (proximal femoral) fracture
- Subcapital fracture with full displacement.
- Broken Shenton's line.
Description by the image author (may be in another language): Negative " John Thomas sign " or "Throckmorton sign" displayed by a patient who sustained a femoral neck fracture on the left. This radiography sign occurs when the patient's penis points away from the injured side. Notice that "John Thomas sign" is joke, even though this image is not(!) a fake.
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.





