Intertrochanteric fracture of the proximal femur

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Polytrauma after falling from a 5-meter height on the left side of the body. Painful shoulder and hip.

Patient Data

Age: 40 years
Gender: Male

Radiograph of the left hip revealed an intertrochanteric fracture of the proximal femur. AO classification type 31A1.2.

Case Discussion

Fall from height injuries need thorough assessment as many different regions of the skeleton may be affected.

The greater the height, the more like the patient is to sustain multiple fractures throughout their skeleton.

The most commonly affected areas are:

  • skull
  • cervical spine
  • scapulae
  • upper extremities
  • rib cage
  • lumbar spine
  • pelvis
  • lower extremities

In the present case, the patient had an intertrochanteric fracture of the proximal hip and also a humeral greater tuberosity fracture (rID: 97565). The proximal femoral fracture was considered a type 31A1.2 according to the AO classification.

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