Difference between revisions of "Trochanteric femur fracture"

(Diagnosis)
Line 2: Line 2:
  
 
==Clinical Features==
 
==Clinical Features==
 +
*'''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
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
Line 10: Line 16:
  
 
==Management==
 
==Management==
 +
*Treatment for both types:
 +
**Non-weight bearing with ortho f/u in 1-2wk
  
 
==Disposition==
 
==Disposition==
 +
*Outpatient
  
 
==See Also==
 
==See Also==
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==References==
 
==References==
 
<references/>
 
<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
 

Revision as of 22:08, 8 June 2015

Background

Clinical Features

  • 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

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

  • Treatment for both types:
    • Non-weight bearing with ortho f/u in 1-2wk

Disposition

  • Outpatient

See Also

External Links

References