|
|
| Line 1: |
Line 1: |
| ==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]]
| |