https://wikem.org/w/api.php?action=feedcontributions&feedformat=atom&user=EfunkEM 2026-05-13T15:13:04Z User contributions MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Acetabular_pelvic_fractures&diff=54978 2016-02-25T23:43:27Z

<p>EfunkEM: /* Radiographically */</p> <hr /> <div>==Background==<br /> *Fractures usually occur when head of femur forced into acetabulum<br /> *Obvious when displaced, subtle non-displaced<br /> <br /> ===Anatomy===<br /> *Anterior column-anterior acetabulum to pubic ramus<br /> *Posterior column- posterior acetabulum to ischial ramus<br /> *Anterior and posterior columns merge to form acetabular dome= weight bearing portion<br /> **Fractures involving acetabular dome require operative fixation<br /> <br /> ==Clinical Features==<br /> <br /> ==Differential Diagnosis==<br /> {{Hip pain DDX}}<br /> <br /> ==Diagnosis==<br /> ===Radiographically===<br /> *Consider obtaining AP, Judet, and inlet/outlet films<br /> *Iliopubic line extends from ilium to superior pubic ramus<br /> *Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, &quot;U&quot; shaped, on AP pelvis<br /> *Quadrilateral plate forms medial wall of acetabulum<br /> [[File:Acetabularfx.png|thumb|alt=Acetabular fracture (red arrow)|Right acetabular fracture (arrow)]]<br /> <br /> ===Fractures Types===<br /> *Anterior column<br /> *Posterior column<br /> *Transverse<br /> *T or Y-shaped<br /> *Posterior rim<br /> *Anterior Wall<br /> <br /> ==Management==<br /> *Early ortho consultation and hospital admission is indicated for all<br /> <br /> ==Disposition==<br /> *Admission<br /> <br /> ==See Also==<br /> *[[Pelvic fractures]]<br /> <br /> ==References==<br /> [[Category:Ortho]]<br /> [[Category:</div>

EfunkEM https://wikem.org/w/index.php?title=Femoral_head_fracture&diff=54974 2016-02-25T23:18:32Z

<p>EfunkEM: clinical appearance of legs</p> <hr /> <div>==Background==<br /> <br /> ==Clinical Features==<br /> *Results from high-energy trauma (e.g. dashboard to flexed knee)<br /> *Usually occurs along with dislocation:<br /> **Posterior dislocation<br /> ***Affected leg appears shortened, internally rotated, adducted <br /> ***Fx of inf aspect of femoral head; concomitant sciatic nerve injury<br /> **Anterior dislocation<br /> ***Affected leg appears shortened, externally rotated, abducted<br /> ***Fx of anterior femoral head; concomitant vascular injury<br /> <br /> ==Differential Diagnosis==<br /> {{Femur fracture types}}<br /> <br /> ==Diagnosis==<br /> {{Proximal femur fracture diagnosis}}<br /> <br /> ==Management==<br /> *Immediate ortho consult; emergent closed reduction of dislocation<br /> <br /> ==Disposition==<br /> *Admit<br /> <br /> ==See Also==<br /> *[[Femur fracture]]<br /> <br /> ==External Links==<br /> <br /> ==References==<br /> &lt;references/&gt;<br /> <br /> [[Category:Ortho]]</div>

EfunkEM https://wikem.org/w/index.php?title=Mid-shaft_femur_fracture&diff=54973 2016-02-25T23:07:38Z

<p>EfunkEM: added imaging recommendations</p> <hr /> <div>''Includes all subtrochanteric femur fractures''<br /> ==Background==<br /> [[File:Location of femur fracture.png|thumb|Location of femur fractures]]<br /> *Occurs with severe trauma or in association with pathological bone<br /> **Blood loss can be substantial (average loss = 1L)<br /> <br /> ==Clinical Features==<br /> *Clinical presentation is similar to intertrochanteric fracture<br /> **affected leg is shortened and externally rotated<br /> <br /> ==Differential Diagnosis==<br /> {{Femur fracture types}}<br /> <br /> ==Diagnosis==<br /> *Radiography<br /> **obtain AP films of knee, femur, hip on bilateral legs<br /> <br /> ==Management==<br /> *Consider traction splint<br /> **Little evidence to support its use<br /> **Theoretical benefit of traction splinting is reduction in bleeding and improved pain<br /> **Sagar and Hare splints are commonly used by EMS providers<br /> *ORIF<br /> <br /> ==Disposition==<br /> *Admit<br /> <br /> ==See Also==<br /> <br /> ==External Links==<br /> <br /> ==References==<br /> &lt;references/&gt;<br /> <br /> [[Category:Ortho]]</div>

EfunkEM https://wikem.org/w/index.php?title=Mid-shaft_femur_fracture&diff=54972 2016-02-25T23:05:28Z

<p>EfunkEM: added clinical presentation info</p> <hr /> <div>''Includes all subtrochanteric femur fractures''<br /> ==Background==<br /> [[File:Location of femur fracture.png|thumb|Location of femur fractures]]<br /> *Occurs with severe trauma or in association with pathological bone<br /> **Blood loss can be substantial (average loss = 1L)<br /> <br /> ==Clinical Features==<br /> *Clinical presentation is similar to intertrochanteric fracture<br /> **affected leg is shortened and externally rotated<br /> <br /> ==Differential Diagnosis==<br /> {{Femur fracture types}}<br /> <br /> ==Diagnosis==<br /> <br /> ==Management==<br /> *Consider traction splint<br /> **Little evidence to support its use<br /> **Theoretical benefit of traction splinting is reduction in bleeding and improved pain<br /> **Sagar and Hare splints are commonly used by EMS providers<br /> *ORIF<br /> <br /> ==Disposition==<br /> *Admit<br /> <br /> ==See Also==<br /> <br /> ==External Links==<br /> <br /> ==References==<br /> &lt;references/&gt;<br /> <br /> [[Category:Ortho]]</div>

EfunkEM https://wikem.org/w/index.php?title=Mid-shaft_femur_fracture&diff=54970 2016-02-25T22:59:22Z

<p>EfunkEM: Added brief information about traction splinting</p> <hr /> <div>''Includes all subtrochanteric femur fractures''<br /> ==Background==<br /> [[File:Location of femur fracture.png|thumb|Location of femur fractures]]<br /> *Occurs with severe trauma or in association with pathological bone<br /> **Blood loss can be substantial (average loss = 1L)<br /> <br /> ==Clinical Features==<br /> *Clinical presentation is similar to intertrochanteric fracture<br /> <br /> ==Differential Diagnosis==<br /> {{Femur fracture types}}<br /> <br /> ==Diagnosis==<br /> <br /> ==Management==<br /> *Consider traction splint<br /> **Little evidence to support its use<br /> **Theoretical benefit of traction splinting is reduction in bleeding and improved pain<br /> **Sagar and Hare splints are commonly used by EMS providers<br /> *ORIF<br /> <br /> ==Disposition==<br /> *Admit<br /> <br /> ==See Also==<br /> <br /> ==External Links==<br /> <br /> ==References==<br /> &lt;references/&gt;<br /> <br /> [[Category:Ortho]]</div>

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