Difference between revisions of "Intertrochanteric femur fracture"

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==Diagnosis==
 
==Diagnosis==
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{{Proximal femur fracture diagnosis}}
  
 
==Management==
 
==Management==

Revision as of 22:01, 8 June 2015

Background

Clinical Features

Differential Diagnosis

Femur fractures

Proximal

Shaft

Diagnosis

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

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