Femoral neck fracture: Difference between revisions

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===Femoral Neck===
*Common in older pts w/ osteoporosis; rarely seen in younger pts
*Typically minimal bruising (intracapsular)
*If fractured and displaced: externally rotated and shortened
*If non-displaced: pt may be ambulatory
*30% of pts w/ symptoms suggestive of fx but negative x-rays have fx on MRI
*Management
**Ortho consult; admit
**Skeletal traction is contraindicated (may compromise femoral head blood flow)

Revision as of 21:47, 8 June 2015

Background

Clinical Features

Differential Diagnosis

Femur Fracture Types

Proximal

Shaft

Diagnosis

Management

Disposition

See Also

External Links

References


Femoral Neck

  • Common in older pts w/ osteoporosis; rarely seen in younger pts
  • Typically minimal bruising (intracapsular)
  • If fractured and displaced: externally rotated and shortened
  • If non-displaced: pt may be ambulatory
  • 30% of pts w/ symptoms suggestive of fx but negative x-rays have fx on MRI
  • Management
    • Ortho consult; admit
    • Skeletal traction is contraindicated (may compromise femoral head blood flow)