Lower Limb Trauma
A 28-year-old motorcyclist is brought to the trauma center after a high-speed collision. Primary survey reveals no immediately life-threatening injuries. Secondary survey identifies a shortened, externally rotated right leg with a deformed mid-thigh. Radiographs show a comminuted femoral shaft fracture. During preparation for intramedullary nailing, the resident questions whether additional imaging of the hip is needed. Regarding ipsilateral femoral neck and shaft fractures:
Mark each as TRUE or FALSE
Ipsilateral femoral neck fractures occur in 3-9% of femoral shaft fractures and are frequently misse...
The priority is treatment of the femoral neck fracture due to the risk of avascular necrosis; displa...
The femoral shaft fracture takes priority over the neck; the neck fracture is never missed; routine ...
Fixation options include cephalomedullary nailing (single implant addresses both fractures), reconst...
Complications include femoral neck nonunion (5-15%), avascular necrosis (3-10%), femoral shaft nonun...
Answer the questions to see explanations
Click T (True) or F (False) for each option