Difference between revisions of "Trochanteric femur fracture"

(Management)
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==Management==
 
==Management==
 +
{{General Fracture Management}}
 +
 +
===Specific Managment===
 
*Treatment for both types:
 
*Treatment for both types:
 
**Non-weight bearing with ortho follow up in 1-2wk
 
**Non-weight bearing with ortho follow up in 1-2wk

Revision as of 05:44, 18 September 2019

Background

  • Greater trochanter
    • Caused by direct trauma (older patients) or avulsion injury (adolescents)
  • Lesser trochanter
    • Avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone

Clinical Features

  • Greater Trochanter
    • Hip pain that increases with abduction; tenderness over greater trochanter
  • Lesser Trochanter
    • Patients usually ambulatory
    • Pain in groin worse with flexion, or patient has difficulty lifting leg at hip from seated position (iliopsoas insufficiency)

Differential Diagnosis

Femur Fracture Types

Anterior view.
Posterior view.

Proximal

Shaft

Evaluation

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

General Fracture Management

Specific Managment

  • Treatment for both types:
    • Non-weight bearing with ortho follow up in 1-2wk

Disposition

  • Outpatient

See Also

External Links

References