Difference between revisions of "Trochanteric femur fracture"

(Text replacement - " pts" to " patients")
(Text replacement - "* " to "*")
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*'''Greater Trochanter'''
 
*'''Greater Trochanter'''
 
**Via direct trauma (older patients) or avulsion injury (adolescents)
 
**Via direct trauma (older patients) or avulsion injury (adolescents)
** Hip pain that increases with abduction; tenderness over greater trochanter
+
**Hip pain that increases with abduction; tenderness over greater trochanter
 
*'''Lesser Trochanter'''
 
*'''Lesser Trochanter'''
 
**Via avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone
 
**Via avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone

Revision as of 04:26, 10 July 2016

Background

Clinical Features

  • Greater Trochanter
    • Via direct trauma (older patients) 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