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The patient is a 37-year-old woman in her second trimester of pregnancy. She presents a day after experiencing a fall, with impact to her left hip.

She is walking, but with a noticeable limp.

View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Clinical Challenge 2: March 2011

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services