Difference between revisions of "Trochanteric femur fracture"

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

Revision as of 23:55, 12 July 2016


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.




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


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


  • Outpatient

See Also

External Links