Intertrochanteric femur fracture

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