Difference between revisions of "Trochanteric femur fracture"

(Text replacement - "f/u" to "follow up")
(Background)
Line 1: Line 1:
 
==Background==
 
==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==
 
==Clinical Features==

Revision as of 01:49, 13 July 2016

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
    • 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 follow up in 1-2wk

Disposition

  • Outpatient

See Also

External Links

References