Femoral Non-Displaced Fracture (bony stres reaction injuries- fatigue vs insufficiency)

Question 1

Age of onset

Answer 1

Insufficiency: over 50 y/o and then increased again over 70 y/o

Fatigue: younger/active

Question 2

Male/Females

Answer 2

Females more common

Question 3

Family History

Answer 3

Insufficiency: positive for osteoporosis

Fatigue- negative

Question 4

Predisposing Health Risks

Answer 4

Insufficiency: Osteoporosis

Fatigue:
-repetitive overuse activities: military, dancers, athletes, runners

• major trauma (or minor if high risk for deceased bone density)
• female athlete triad

Question 5

Onset

Answer 5

Onset: typically sudden (either) or suddenly worsens

Question 6

Symptom Location

Answer 6

Groin

Greater Trochanter

Deep Buttock

May refer to:
-anterior/medial thigh/knee

Question 7

Aggravating Factors

Answer 7

Weight-bearing- standing or walking

Question 8

Alleviating Factors

Answer 8

Non-weight-bearing

Question 9

Review of Systems

Answer 9

None

Question 10

Position of Comfort/Pain

Answer 10

LE position of comfort-ABD and external rotation

Position of Pain: internal rotation may be painful

Question 11

Palpation/Observation

Answer 11

Too deep to provoke pain by palpation

Question 12

Special Tests

Answer 12

FADIR/FABER?

Patellar Pubic Percussion Test