Difference between revisions of "Intertrochanteric femur fracture"

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{{Femur fracture types}}
 
{{Femur fracture types}}
  
==Diagnosis==
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==Evaluation==
 
{{Proximal femur fracture diagnosis}}
 
{{Proximal femur fracture diagnosis}}
  
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==Management==
 
==Management==
*Admit for eventual ORIF
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{{General Fracture Management}}
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===Specific Management===
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*Ortho consult
  
 
==Disposition==
 
==Disposition==
 
*Admit
 
*Admit
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===Specialty Care===
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*Typically requires ORIF
  
 
==See Also==
 
==See Also==
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==References==
 
==References==
 
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[[Category:Orthopedics]]

Latest revision as of 05:43, 18 September 2019

Background

  • Occur via fall in elderly or osteoporotic

Clinical Features

  • Typically pain, swelling, ecchymosis
    • May lose 1-2L of blood
  • Unable to bear weight
  • Shortening and external rotation if fracture is significantly displaced

Differential Diagnosis

Femur fractures

Proximal

Shaft

Evaluation

Location of femur fractures
  • Consider AP pelvis in addition to AP/lateral views to compare contralateral side
  • Consider MRI if strong clinical suspicion but negative x-ray

Evaluation

Garden's classification of intertrochanteric fractures
  • Stable (Garden's type I and II)
    • Lesser trochanter non-displaced, no comminution, medial cortices of prox/distal fragments aligned
  • Unstable (Garden's type III and IV)
    • Displacement occurs, comminution is present, or multiple fracture lines exist

Management

General Fracture Management

Specific Management

  • Ortho consult

Disposition

  • Admit

Specialty Care

  • Typically requires ORIF

See Also

External Links

References