Intertrochanteric femur fracture: Difference between revisions
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{{Femur fracture types}} | {{Femur fracture types}} | ||
== | ==Evaluation== | ||
{{Proximal femur fracture diagnosis}} | {{Proximal femur fracture diagnosis}} | ||
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==Management== | ==Management== | ||
*Admit for eventual ORIF | |||
==Disposition== | ==Disposition== | ||
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==References== | ==References== | ||
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[[Category:Orthopedics]] | |||
Revision as of 02:00, 24 July 2016
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 Fracture Types
Proximal
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
Evaluation
- Consider AP pelvis in addition to AP/lateral views to compare contralateral side
- Consider MRI if strong clinical suspicion but negative x-ray
Evaluation
- 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