Mid-shaft femur fracture - Revision history

Rossdonaldson1: /* Evaluation */

2020-10-22T19:45:44Z

Evaluation

← Older revision		Revision as of 19:45, 22 October 2020
Line 15:		Line 15:

	==Evaluation==		==Evaluation==
			[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]
	[[File:Medical X-Ray imaging IYN05 nevit.jpg\|thumb\|Spiral shaft fracture of femur.]]		[[File:Medical X-Ray imaging IYN05 nevit.jpg\|thumb\|Spiral shaft fracture of femur.]]
	===Workup===		===Workup===
	*Radiography		*Radiography
	**~~Obtain~~ films of knee~~, femur,~~ and hip for operative planning and to assess for other injury		**Femur x-ray: PA and lateral
			**Consider films of knee and hip for operative planning and to assess for other injury
	*Pre-op labs		*Pre-op labs
	**CBC		**CBC
Line 24:		Line 26:
	**PT/PTT		**PT/PTT
	**Type & Screen		**Type & Screen

	~~===Evaluation===~~
	~~[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]~~
	~~===Workup===~~
	*Femur x-ray: PA and lateral

	===Diagnosis===		===Diagnosis===

2020-10-22T19:44:46Z

← Older revision		Revision as of 19:44, 22 October 2020
Line 1:		Line 1:
	''Includes all subtrochanteric femur fractures''		''Includes all subtrochanteric femur fractures''
	==Background==		==Background==
	~~[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]~~
	*[[File:Structure of a Long Bone.png\|thumb\|Long bone anatomy.]]		*[[File:Structure of a Long Bone.png\|thumb\|Long bone anatomy.]]
	*Occurs with severe trauma or in association with pathologic bone		*Occurs with severe trauma or in association with pathologic bone
Line 25:		Line 24:
	**PT/PTT		**PT/PTT
	**Type & Screen		**Type & Screen

			===Evaluation===
			[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]
			===Workup===
			*Femur x-ray: PA and lateral

	===Diagnosis===		===Diagnosis===

2020-10-22T19:41:33Z

← Older revision		Revision as of 19:41, 22 October 2020
Line 5:		Line 5:
	*Occurs with severe trauma or in association with pathologic bone		*Occurs with severe trauma or in association with pathologic bone
	**Blood loss can be substantial (average loss = 1L)		**Blood loss can be substantial (average loss = 1L)

			{{Femur fracture types}}

	==Clinical Features==		==Clinical Features==
Line 11:		Line 13:

	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Femur fracture types~~}}		{{Hip pain DDX}}

	==Evaluation==		==Evaluation==
Line 41:		Line 43:
	*Admit		*Admit
	**Typically requires ORIF		**Typically requires ORIF

	==See Also==		==See Also==
	*[[Femur fracture]]		*[[Femur fracture]]

2020-01-11T14:19:24Z

External Links

← Older revision		Revision as of 14:19, 11 January 2020
Line 46:		Line 46:

	==External Links==		==External Links==
	[http://www.wheelessonline.com/ortho/workup_for_femoral_shaft_frx Wheelers' Textbook - Femoral Shaft Fracture]		*[http://www.wheelessonline.com/ortho/workup_for_femoral_shaft_frx Wheelers' Textbook - Femoral Shaft Fracture]

	==References==		==References==

2020-01-11T14:18:57Z

Background

← Older revision		Revision as of 14:18, 11 January 2020
Line 2:		Line 2:
	==Background==		==Background==
	[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]		[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]
			*[[File:Structure of a Long Bone.png\|thumb\|Long bone anatomy.]]
	*Occurs with severe trauma or in association with pathologic bone		*Occurs with severe trauma or in association with pathologic bone
	**Blood loss can be substantial (average loss = 1L)		**Blood loss can be substantial (average loss = 1L)

2020-01-11T13:57:03Z

Evaluation

← Older revision		Revision as of 13:57, 11 January 2020
Line 13:		Line 13:

	==Evaluation==		==Evaluation==
			[[File:Medical X-Ray imaging IYN05 nevit.jpg\|thumb\|Spiral shaft fracture of femur.]]
	===Workup===		===Workup===
	*Radiography		*Radiography

2020-01-11T13:30:03Z

Management

← Older revision		Revision as of 13:30, 11 January 2020
Line 26:		Line 26:

	==Management==		==Management==
			*Resuscitation per [[Trauma (main)\|ATLS]] guidelines
	{{General Fracture Management}}		{{General Fracture Management}}
	*Resuscitation per [[Trauma (main)\|ATLS]] guidelines

	===Immobilization===		===Immobilization===

2020-01-11T13:29:41Z

← Older revision		Revision as of 13:29, 11 January 2020
Line 13:		Line 13:

	==Evaluation==		==Evaluation==
			===Workup===
	*Radiography		*Radiography
	**Obtain films of knee, femur, and hip for operative planning and to assess for other injury		**Obtain films of knee, femur, and hip for operative planning and to assess for other injury
Line 20:		Line 21:
	**PT/PTT		**PT/PTT
	**Type & Screen		**Type & Screen

			===Diagnosis===
			*Typically via plain films

	==Management==		==Management==

2020-01-11T05:36:24Z

Immobilization

← Older revision		Revision as of 05:36, 11 January 2020
Line 29:		Line 29:
	**Little evidence to support its use<ref>Agrawal Y, Karwa J, Shah N, et al. Traction splint: to use or not to use. J Perioper Pract. 2009; 19(9):295-298.</ref>		**Little evidence to support its use<ref>Agrawal Y, Karwa J, Shah N, et al. Traction splint: to use or not to use. J Perioper Pract. 2009; 19(9):295-298.</ref>
	**Theoretical benefit of traction splinting is reduction in bleeding and improved pain		**Theoretical benefit of traction splinting is reduction in bleeding and improved pain
	**~~Sagar~~ and Hare splints are commonly used by EMS providers		**Sager and Hare splints are commonly used by EMS providers
	**Buck's traction used by ortho		**Buck's traction used by ortho

2019-09-18T05:49:19Z