Ortho - Hip Fractures Flashcards
risk factors for a hip #?
age fall osteoporosis Hx of falls trauma drugs alcohol
what is the blood supply to the hip?
circumflex round femoral neck
medial and lateral branch off this
which type of hip # has more of a risk of AVN?
intracapsular
what anatomical location marks the line between intra/extra capsular?
line between lesser and greater trochanter
in joint = extracapsular
within extracapsular, what are the two # types called? where is the anatomical divide between the two?
trochanteric
subtrochanteric
subtrochanteric = below lesser trochanter and above femoral shaft
features of a hip #?
shortened leg
externally rotated
cant weight bear
groin pain
Ix for hip #?
FBC, U+Es, BM, G+S, coag
ECG
XRAY
XRAY features of a hip #?
disrupted shenton’s line
trabecular malalignment
where does shenton’s line run?
inferior border of superior pubic ramus to femoral shaft
where can avulsion # occur?
ASIS
greater trochanter
lesser trochanter
where do you look for pubic rami #?
iliopectineal line (along super pubic ramus)
Tx for hip #?
pain medication
VTE prophylaxis
surgery
Tx for an extracapsular #?
DHS (young) IM device (older/comorbidities)
complications of a hip #?
AVN (intracapsular) sciatic injury infection dislocation loosening
Tx for an intertrochanteric extracapsular #?
DHS
