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
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
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)
