Hip Fractures
A 78-year-old woman falls at home and presents with right hip pain. She cannot bear weight. Examination reveals the leg shortened and externally rotated. X-ray shows an intertrochanteric fracture with comminution of the posteromedial cortex (calcar) and a fracture line extending into the lateral cortex below the greater trochanter. The lesser trochanter is a separate fragment. Regarding intertrochanteric fractures:
Mark each as TRUE or FALSE
Intertrochanteric fractures are extracapsular hip fractures occurring between the greater and lesser...
Fracture stability depends on posteromedial cortex (calcar) integrity and fracture pattern; stable f...
Intertrochanteric fractures are intracapsular; AVN is a common complication; nonoperative treatment ...
Sliding hip screw (DHS) allows controlled impaction along the screw axis and is ideal for stable fra...
Complications include screw cutout (most common failure mode, associated with TAD greater than 25mm ...
Answer the questions to see explanations
Click T (True) or F (False) for each option