Proximal Femur Fractures

Question 1

what could be the underlying cause of a proximal femur fracture?

Answer 1

cerebrovascular disease
cardiac arrhythmia
postural hypotension

Question 2

what is the mortality at 1 month?

Answer 2

10%

Question 3

risk of mortality at 3 months?

Answer 3

20%

Question 4

risk of mortality after 1 yr?

Answer 4

30%

Question 5

surgical complications of proximal femur fractures?

Answer 5

faiure of fixation
AVN
non union
infection
dislocation

Question 6

clinical presentation of a proximal femur fracture?

Answer 6

shortening
externally rotated leg
trochanteric bruising
unable to straight leg raise
severe groin pain on rotation

Question 7

examination findings of proximal femur fractures?

Answer 7

unable to straight leg raise

severe groin pain on rotation

Question 8

when would you do an MRI in addition to an x ray for this fracture?

Answer 8

occult fractures

Question 9

what x ray feature is seen in an intracapsular fracture of the proximal femur?

Answer 9

brea in shentons line

Question 10

treatment for a well patient?

Answer 10

fixation or replacement

Question 11

treatment for a sick patient?

Answer 11

hemiarthroplasty

Question 12

which type of fracture of the neck of the femur doesnt have a risk of AVN?

Answer 12

extracapsular fracture

Question 13

how to treat extracapsular hip fracture?

Answer 13

dynamic hip screw

Question 14

what proximal femur fracture is associated with bisphosphonates?

Answer 14

subtrochanteric fracture

Question 15

clinical presentation of a pubic rami fracture?

Answer 15

tender groin

less pain on rotation than hip fracture

Question 16

treatment for a pubic rami fracture?

Answer 16

conservative

Question 17

treatment for greater trochanter fracture

Answer 17

internal fixation