Femoral neck fracture: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
Ostermayer (talk | contribs) (Text replacement - " pts" to " patients") |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Common in older | *Common in older patients with osteoporosis; rarely seen in younger patients | ||
==Clinical Features== | ==Clinical Features== | ||
| Line 11: | Line 11: | ||
==Diagnosis== | ==Diagnosis== | ||
''30% of | ''30% of patients with symptoms suggestive of fracture but negative x-rays have fracture on MRI'' | ||
{{Proximal femur fracture diagnosis}} | {{Proximal femur fracture diagnosis}} | ||
Revision as of 16:49, 21 June 2016
Background
- Common in older patients with osteoporosis; rarely seen in younger patients
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 patients 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