hip fractures Flashcards
what are the main blood supplies to femoral head
(ligamentum teres)
>intremedullary artery - of shaft of femur
>medial and lateral circumflex branches of profunda femoris
extracapsular vs intracapsular fracture (find pics)
what to assess with suspected hip fracture
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
what do you look for in an x-ray that would suggest hip is ok
shenton’s line is in place
management for a high functioning intracapsular fracture that is displaced
THR - total hip replacement
management for a high functioning intracapsular fracture that is undisplaced
CHS - compression hip screw
management for a low functioning intracapsular fracture
hemi-arthroplasty
management for extracapsular intertroch. fracture
DHS screw
management fot extracapsular subtroch. fracture
intramedullary nail
complications
non-union (both)
AVN (more intracapsular)
malunion (more extracapsular)