Femoral head fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Results from high-energy trauma (e.g. dashboard to flexed knee) | *Results from high-energy trauma (e.g. dashboard to flexed knee) | ||
*Usually occurs along with dislocation: | *Usually occurs along with dislocation: | ||
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**Anterior dislocation | **Anterior dislocation | ||
***Fx of anterior femoral head; concomitant vascular injury | ***Fx of anterior femoral head; concomitant vascular injury | ||
==Differential Diagnosis== | |||
{{Femur fracture types}} | |||
==Diagnosis== | |||
==Management== | ==Management== | ||
Revision as of 21:58, 8 June 2015
Background
Clinical Features
- Results from high-energy trauma (e.g. dashboard to flexed knee)
- Usually occurs along with dislocation:
- Posterior dislocation
- Fx of inf aspect of femoral head; concomitant sciatic nerve injury
- Anterior dislocation
- Fx of anterior femoral head; concomitant vascular injury
- Posterior dislocation
Differential Diagnosis
Femur Fracture Types
Proximal
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
Diagnosis
Management
- Immediate ortho consult; emergent closed reduction of dislocation