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| ==Background==
| | #REDIRECT[[Femur fracture]] |
| * Imaging
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| **Consider AP pelvis in addition to AP/lateral views to compare contralateral side
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| **Consider MRI if strong clinical suspicion but negative x-ray
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| *Most fx, including all displaced fx, are treated with ORIF
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| **Exception is isolated trochanteric fx often does not require surgery
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| *Skeletal traction is not beneficial
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| *Type and cross/screen for pts at higher risk of hemorrhage:
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| **Age > 75 yrs
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| **Initial Hb < 12
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| **Peritrochanteric fx
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| *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>
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| [[File:Location of femur fracture.png|thumb|Location of femur fractures]] | |
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| {{Femur fracture types}}
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| ==Clinical Features==
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| ==Differential Diagnosis==
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| {{Hip pain DDX}}
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| ==Intracapsular==
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| ==Extracapsular==
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| ===Trochanteric===
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| *'''Greater Trochanter'''
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| **Via direct trauma (older pts) or avulsion injury (adolescents)
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| ** Hip pain that increases with abduction; tenderness over greater trochanter
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| *'''Lesser Trochanter'''
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| **Via avulsion due to forceful contraction of iliopsoas (adolescents) or pathologic bone
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| **Pts are usually ambulatory; c/o pain in groin worse w/ flexion
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| *Treatment for both types:
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| **NWB with ortho f/u in 1-2wk
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| ==See Also==
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| *[[Fractures (Main)]]
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| ==References==
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| <references/>
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| [[Category:Ortho]]
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