Intertrochanteric femur fracture: Difference between revisions
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===Intertrochanteric=== | |||
[[File:Garden's Classification.jpg|thumb|Garden's classification of intertrochanteric fractures]] | |||
*Occur via fall in elderly or osteoporotic | |||
*Typically pain, swelling, ecchymosis | |||
**May lose 1-2L of blood | |||
*Unable to bear weight | |||
*Shortening and external rotation if fracture is significantly displaced | |||
*Types: | |||
**Stable (Garden's type I and II) | |||
***Lesser trochanter non-displaced, no comminution, medial cortices of prox/distal fragments aligned | |||
**Unstable (Garden's type III and IV) | |||
***Displacement occurs, comminution is present, or multiple fracture lines exist | |||
*Management | |||
**Admit for eventual ORIF | |||
Revision as of 21:48, 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
Intertrochanteric
- Occur via fall in elderly or osteoporotic
- Typically pain, swelling, ecchymosis
- May lose 1-2L of blood
- Unable to bear weight
- Shortening and external rotation if fracture is significantly displaced
- Types:
- Stable (Garden's type I and II)
- Lesser trochanter non-displaced, no comminution, medial cortices of prox/distal fragments aligned
- Unstable (Garden's type III and IV)
- Displacement occurs, comminution is present, or multiple fracture lines exist
- Stable (Garden's type I and II)
- Management
- Admit for eventual ORIF