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A 14 year old boy sustained a left hip injury following a fall off a rope swing from a reported height of 6 meters. He was assessed using ATLS principles and his only injury involved the left hip. The clinical examination of the involved leg revealed a flexed, abducted and externally rotated lower limb. He was unable to move the hip joint and was tender on palpation with the femoral head palpable anteriorly in the groin region.