Proximal femur fracture - Revision history

Rossdonaldson1: Redirected page to Femur fracture

2015-06-08T21:49:33Z

← Older revision		Revision as of 21:49, 8 June 2015
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	~~==Background==~~		#REDIRECT[[Femur fracture]]
	* Imaging
	**Consider AP pelvis in addition to AP/lateral views to compare contralateral side
	**Consider MRI if strong clinical suspicion but negative x-ray
	*Most fx, including all displaced fx, are treated with ORIF
	**Exception is isolated trochanteric fx often does not require surgery
	*Skeletal traction is not beneficial
	*Type and cross/screen for pts at higher risk of hemorrhage:
	**Age > 75 yrs
	**Initial Hb < 12
	**Peritrochanteric fx
	*Despite good care, 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>
	[[~~File:Location of femur fracture.png\|thumb\|Location of femur fractures]]~~

	{{Femur fracture ~~types}}~~

	~~==Clinical Features==~~

	~~==Differential Diagnosis==~~
	~~{{Hip pain DDX}}~~

	~~==Intracapsular==~~
	~~==Extracapsular==~~
	~~==See Also==~~
	*[[Fractures (Main)]]

	~~==References==~~
	~~<references/>~~

	~~[[Category:Ortho~~]]

2015-06-08T21:48:14Z

Trochanteric

@@ Line 22: / Line 22: @@
 ==Intracapsular==
 ==Extracapsular==
 ==See Also==
 *[[Fractures (Main)]]

2015-06-08T21:47:52Z

Intertrochanteric

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 ==Intracapsular==
 ==Extracapsular==
 ===Trochanteric===
 *'''Greater Trochanter'''

2015-06-08T21:47:27Z

Femoral Neck

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 ==Intracapsular==
 ==Extracapsular==
 ===Intertrochanteric===

2015-06-08T21:46:06Z

Femoral Head

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 ==Intracapsular==
 ===Femoral Neck===
 *Common in older pts w/ osteoporosis; rarely seen in younger pts

2015-06-08T21:21:24Z

Subtrochanteric (including Mid-Shaft)

← Older revision		Revision as of 21:21, 8 June 2015
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	*Treatment for both types:		*Treatment for both types:
	**NWB with ortho f/u in 1-2wk		**NWB with ortho f/u in 1-2wk

	~~===Subtrochanteric (including Mid-Shaft)===~~
	*Occurs with severe trauma or in association with pathological bone
	**Blood loss can be substantial (average loss = 1L)
	*Clinical presentation is similar to intertrochanteric fracture
	*Management
	**Consider traction split though little evidence to support its use
	**Admit for ORIF

	==See Also==		==See Also==

2015-06-08T21:21:12Z

← Older revision		Revision as of 21:21, 8 June 2015
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	*Despite good care, 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>
	[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]		[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]

			{{Femur fracture types}}

	==Clinical Features==		==Clinical Features==

2015-06-08T21:06:24Z

← Older revision	Revision as of 21:06, 8 June 2015
(No difference)

2015-06-07T02:38:05Z

Source

2015-06-07T02:37:50Z

← Older revision		Revision as of 02:37, 7 June 2015
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	*Despite good care, 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>
	[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]		[[File:Location of femur fracture.png\|thumb\|Location of femur fractures]]

			==Clinical Features==

			==Differential Diagnosis==
			{{Hip pain DDX}}

	==Intracapsular==		==Intracapsular==