Trochanteric femur fracture: Difference between revisions
ClaireLewis (talk | contribs) |
ClaireLewis (talk | contribs) |
||
| Line 7: | Line 7: | ||
==Clinical Features== | ==Clinical Features== | ||
*'''Greater Trochanter''' | *'''Greater Trochanter''' | ||
** | **[[Hip pain]] that increases with abduction; tenderness over greater trochanter | ||
*'''Lesser Trochanter''' | *'''Lesser Trochanter''' | ||
** | **Patients usually ambulatory | ||
** | **pain in groin worse w/ flexion | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 01:50, 13 July 2016
Background
- Greater trochanter
- caused by direct trauma (older patients) or avulsion injury (adolescents)
- Lesser trochanter
- avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone
Clinical Features
- Greater Trochanter
- Hip pain that increases with abduction; tenderness over greater trochanter
- Lesser Trochanter
- Patients usually ambulatory
- pain in groin worse w/ flexion
Differential Diagnosis
Femur Fracture Types
Proximal
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
Diagnosis
- Consider AP pelvis in addition to AP/lateral views to compare contralateral side
- Consider MRI if strong clinical suspicion but negative x-ray
Management
- Treatment for both types:
- Non-weight bearing with ortho follow up in 1-2wk
Disposition
- Outpatient