Difference between revisions of "Trochanteric femur fracture"

(Background)
(Clinical Features)
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==Clinical Features==
 
==Clinical Features==
 
*'''Greater Trochanter'''
 
*'''Greater Trochanter'''
**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
+
**Patients usually ambulatory
**Pts are usually ambulatory; c/o pain in groin worse w/ flexion  
+
**pain in groin worse w/ flexion
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 01:50, 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
    • Hip pain that increases with abduction; tenderness over greater trochanter
  • Lesser Trochanter
    • Patients usually ambulatory
    • 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