Hip fracture: Difference between revisions

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imported>Robert Badgett
imported>Robert Badgett
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==Treatment==
==Treatment==
Surgical treatment is optimal.<ref name="pmid18646065">{{cite journal |author=Handoll HH, Parker MJ |title=Conservative versus operative treatment for hip fractures in adults |journal=Cochrane Database Syst Rev |volume= |issue=3 |pages=CD000337 |year=2008 |pmid=18646065 |doi=10.1002/14651858.CD000337.pub2 |url=http://dx.doi.org/10.1002/14651858.CD000337.pub2 |issn=}}</ref>
Surgical treatment is optimal, especially for intracapsular fractures.<ref name="pmid18646065">{{cite journal |author=Handoll HH, Parker MJ |title=Conservative versus operative treatment for hip fractures in adults |journal=Cochrane Database Syst Rev |volume= |issue=3 |pages=CD000337 |year=2008 |pmid=18646065 |doi=10.1002/14651858.CD000337.pub2 |url=http://dx.doi.org/10.1002/14651858.CD000337.pub2 |issn=}}</ref>


For incomplete intertrochanteric fractures, conservative therapy is an option.<ref name="pmid16129752">{{cite journal| author=Alam A, Willett K, Ostlere S| title=The MRI diagnosis and management of incomplete intertrochanteric fractures of the femur. | journal=J Bone Joint Surg Br | year= 2005 | volume= 87 | issue= 9 | pages= 1253-5 | pmid=16129752  
For incomplete intertrochanteric fractures, conservative therapy is an option.<ref name="pmid16129752">{{cite journal| author=Alam A, Willett K, Ostlere S| title=The MRI diagnosis and management of incomplete intertrochanteric fractures of the femur. | journal=J Bone Joint Surg Br | year= 2005 | volume= 87 | issue= 9 | pages= 1253-5 | pmid=16129752  

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In medicine, hip fractures are "fractures of the femur head; the femur neck; (femoral neck fractures); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (femoral fractures)."[1]

Classification

Upper right femur viewed from behind and above.

Intracapsular fractures

Extracapsular fractures

  • Intertrochanteric fractures
  • Subtrochanteric fractures

Etiology

Osteoporosis and accidental falls are risk factors.

Treatment

Surgical treatment is optimal, especially for intracapsular fractures.[2]

For incomplete intertrochanteric fractures, conservative therapy is an option.[3]

References