Difference between revisions of "Intertrochanteric femur fracture"

(Management)
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==Management==
 
==Management==
**Admit for eventual ORIF
+
*Admit for eventual ORIF
  
 
==Disposition==
 
==Disposition==

Revision as of 22:16, 8 June 2015

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

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

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

  • Admit for eventual ORIF

Disposition

  • Admit

See Also

External Links

References