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Hip Fracture Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Fracture of the femur head or neck, usually as the result of a fall. The following classification derives from the vascular anatomy of the head and neck of the femur.
  • Intracapsular:
    • Femoral neck, subcapital or transcervical
    • Intracapsular femoral neck fractures may disrupt the blood supply to the femoral head, resulting in avascular necrosis.
  • Extracapsular:
    • Intertrochanteric
    • Subtrochanteric
  • System(s) affected: Musculoskeletal
  • Synonym(s): Subcapital fracture; Trochanteric fracture; Femoral neck fracture
ALERT: Geriatric Considerations
  • Hip fractures common in geriatric age group
Epidemiology
  • Predominant age: 80% occur in those >60 years old
  • Predominant sex: Female > Male (3:1)
Incidence
  • In US, 200,000 patients per year >65 have fracture of hips.
  • In US, women >75 years: 1% incidence per year
Risk ...

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See Also
Images >
Fig. 1. Femur fracture in a 10-year-old (A) treated with flexible intramedullary nails (B).
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