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Intertrochanteric fracture

Case contributed by Dr Mohammad Osama Yonso

Presentation

Fall the previous day with right hip pain.

Patient Data

Age: 75 years
Gender: Female
X-ray

Fracture with displacement is seen in the intertrochanteric region of the right femur.

Case Discussion

This case demonstrates an intertrochanteric fracture with displacement. Fractures are broadly divided into intra- and extra-capsular fractures and in more detail with the Garden classification. This determines the surgical treatment; intracapsular fractures are typically treated with a hemiarthroplasty and extracapsular fractures with a dynamic hip screw.  

A neck of femur fracture (NOF) is a relatively common injury sustained by older patients who are more likely to have both unsteadiness of gait and reduced bone mineral density, predisposing to fracture.

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Case information

rID: 21352
Published: 17th Jan 2013
Last edited: 4th Aug 2020
Inclusion in quiz mode: Included

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