A rare variant in Pipkin classification- A technical note

Femoral head fracture is a relatively uncommon entity. Pipkins provided classification of femoral head fractures into four types; as per the classification, type 1 includes infrafoveal fragment and type 2 includes supra foveal fragment. There is no mention of transfoveal variety in the literature. We present a case of 22-year-old male who sustained posterior hip dislocation with femoral head fracture, which appeared to be type 2 on radiological investigations. Per operatively the fracture extended both proximal and distal to fovea, which we termed it as “transfoveal” variety. The patient was managed surgically by Ganz surgical dislocation of hip, and internal fixation using 2 HCS. Trans-foveal variety of femoral head fracture is hitherto unknown variety which has not been published in the literature so far as per the authors.