We present 2 cases of ipsilateral fractures of the hip and femoral shaft. Both cases were caused by road traffic accidents resalting in multiple injuries. The ware radiograph showed only femoral shaft fracture in the first diagnosis. After surgery for femoral shaft fracture with interlocking nailing, ipsilateral fracture of the hip was found in the post-operation radiogragh. As the ipsilateral facture of the hip and femoral shaft is caused by high energy trauma and the patient usually suffers multiple injuries, diagnosis of hip fracture is frequently misdiagnoled.
Fractures of the femoral neck may sometimes also be associated with technical errors during closed nailing of the femoral shaft. We recommend use of the routine hip radiograph when high energy trauma and care are required in the placement of the entry hole for intermedullary nailing.