Difference between revisions of "Intertrochanteric femur fracture"

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===Intertrochanteric===
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[[File:Garden's Classification.jpg|thumb|Garden's classification of intertrochanteric fractures]]
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*Occur via fall in elderly or osteoporotic
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*Typically pain, swelling, ecchymosis
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**May lose 1-2L of blood
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*Unable to bear weight
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*Shortening and external rotation if fracture is significantly displaced
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*Types:
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**Stable (Garden's type I and II)
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***Lesser trochanter non-displaced, no comminution, medial cortices of prox/distal fragments aligned
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**Unstable (Garden's type III and IV)
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***Displacement occurs, comminution is present, or multiple fracture lines exist
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*Management
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**Admit for eventual ORIF

Revision as of 21:48, 8 June 2015

Background

Clinical Features

Differential Diagnosis

Femur fractures

Proximal

Shaft

Diagnosis

Management

Disposition

See Also

External Links

References


Intertrochanteric

Garden's classification of intertrochanteric fractures
  • Occur via fall in elderly or osteoporotic
  • Typically pain, swelling, ecchymosis
    • May lose 1-2L of blood
  • Unable to bear weight
  • Shortening and external rotation if fracture is significantly displaced
  • Types:
    • 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
    • Admit for eventual ORIF