Hip Pathology Flashcards
How does a hip fracture classically present?
Shortened and externally rotated limb
What radiological line can assist in the diagnosis of NoF fractures?
Shenton’s line
Anatomical borders for describing hip fractures?
What is a major complication of intracapsular hip fractures?
- Avascular necrosis
- Healing of intracapsular fractures is complicated by tenuous blood supply
- The retinacular vessels may be damaged, especially if fracture is displaced
Which classification system is used for intra-capsular neck of femur fractures?
Garden’s classification
What is the treatment for undisplaced intracapsular fractures?
Internal fixation w/ cannulated screw
What is the treatment for displaced intracapsular fractures?
- Hemiarthroplasty
- If >70 yrs → total hip arthroplasty
What is the treatment for extracapsular fractures?
Dynamic hip screw (intertrochantaric) or intramedullary nail (subtrochaenteric)