Hip and Femur Trauma
A 78-year-old woman on long-term bisphosphonate therapy (10 years) presents after a low-energy fall with inability to bear weight. She reports prodromal thigh pain for 6 weeks prior to the fall. Radiographs show a short oblique fracture at the subtrochanteric region with characteristic lateral cortical beaking, diffuse cortical thickening, and minimal comminution. The proximal fragment is flexed, abducted, and externally rotated. Regarding subtrochanteric femur fractures:
Mark each as TRUE or FALSE
The subtrochanteric region is defined as the area from the lesser trochanter to 5cm distal; this zon...
Atypical femur fractures (AFF) are associated with bisphosphonate use for greater than 5 years; char...
The subtrochanteric region experiences minimal stress due to cancellous bone; the proximal fragment ...
Cephalomedullary nailing is the preferred treatment for most subtrochanteric fractures; proper start...
Complications include nonunion (5-10%, higher in comminuted/high-energy patterns), varus malunion (c...
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Click T (True) or F (False) for each option