Femoral neck fracture: Difference between revisions
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==Background== | ==Background== | ||
*Common in older pts with osteoporosis; rarely seen in younger pts | |||
==Clinical Features== | ==Clinical Features== | ||
*Typically minimal bruising (intracapsular) | |||
*If fractured and displaced: externally rotated and shortened | |||
*If non-displaced: patient may be ambulatory | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Diagnosis== | ==Diagnosis== | ||
''30% of pts with symptoms suggestive of fracture but negative x-rays have fracture on MRI'' | |||
{{Proximal femur fracture diagnosis}} | {{Proximal femur fracture diagnosis}} | ||
==Management== | ==Management== | ||
*Ortho consult | |||
*Skeletal traction is contraindicated (may compromise femoral head blood flow) | |||
==Disposition== | ==Disposition== | ||
*Admit | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 22:03, 8 June 2015
Background
- Common in older pts with osteoporosis; rarely seen in younger pts
Clinical Features
- Typically minimal bruising (intracapsular)
- If fractured and displaced: externally rotated and shortened
- If non-displaced: patient may be ambulatory
Differential Diagnosis
Femur Fracture Types
Proximal
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
Diagnosis
30% of pts with symptoms suggestive of fracture but negative x-rays have fracture on MRI
- Consider AP pelvis in addition to AP/lateral views to compare contralateral side
- Consider MRI if strong clinical suspicion but negative x-ray
Management
- Ortho consult
- Skeletal traction is contraindicated (may compromise femoral head blood flow)
Disposition
- Admit