hip fractures

Question 1

what are the main blood supplies to femoral head

Answer 1

(ligamentum teres)
>intremedullary artery - of shaft of femur
>medial and lateral circumflex branches of profunda femoris

Question 2

extracapsular vs intracapsular fracture (find pics)

Question 3

what to assess with suspected hip fracture

Answer 3

cannot bear weight
cognitive impairment ?
missed injuries
fluid status
examination of limb
bedside tests
x-rays > MRI or CT to double check for displaced or occult fracture

Question 4

what do you look for in an x-ray that would suggest hip is ok

Answer 4

shenton’s line is in place

Question 5

management for a high functioning intracapsular fracture that is displaced

Answer 5

THR - total hip replacement

Question 6

management for a high functioning intracapsular fracture that is undisplaced

Answer 6

CHS - compression hip screw

Question 7

management for a low functioning intracapsular fracture

Answer 7

hemi-arthroplasty

Question 8

management for extracapsular intertroch. fracture

Answer 8

DHS screw

Question 9

management fot extracapsular subtroch. fracture

Answer 9

intramedullary nail

Question 10

complications

Answer 10

non-union (both)
AVN (more intracapsular)
malunion (more extracapsular)