Difference between revisions of "Trochanteric femur fracture"

(Diagnosis)
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==Diagnosis==
 
==Diagnosis==
 +
{{Proximal femur fracture diagnosis}}
  
 
==Management==
 
==Management==

Revision as of 22:01, 8 June 2015

Background

Clinical Features

Differential Diagnosis

Femur Fracture Types

Anterior view.
Posterior view.

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


Trochanteric

  • Greater Trochanter
    • Via direct trauma (older pts) or avulsion injury (adolescents)
    • Hip pain that increases with abduction; tenderness over greater trochanter
  • Lesser Trochanter
    • Via avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone
    • Pts are usually ambulatory; c/o pain in groin worse w/ flexion
  • Treatment for both types:
    • NWB with ortho f/u in 1-2wk