Five cases of concomitant unilateral fractures of the hip and the femoral shaft are reported. In four of these and in two of the other four cases reported in the literature, the hip fractures were not recognized initially, to the detriment of the patient in some instances. Each fracture must receive optimum treatment. Suggestions are made as to how this can be accomplished.
Concomitant unilateral hip and femoral-shaft fracture is a syndrome too frequently unrecognized. Hip fracture should be considered and excluded by clinical and, if necessary, roentgenographic examination in all femoral-shaft fractures. If diagnosed early and treated skillfully, a satisfactory outcome can be expected.