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Mar 7, 2024 · Subtrochanteric fractures are proximal femur fractures located within 5 cm of the lesser trochanter that may occur in low energy (elderly) or high energy (young patients) mechanisms. Diagnosis is made with orthogonal radiographs of the hip in patients that present with inability to bear weight.
Jul 17, 2023 · Objectives: Identify the etiology of subtrochanteric femur fractures. Describe the presentation of a patient with a subtrochanteric femur fracture. Identify treatment and management options for closed and for open subtrochanteric femur fractures.
Feb 1, 2021 · Subtrochanteric femur fractures are challenging orthopaedic injuries due to their complex and powerful deforming forces, which create significant difficulty in fracture reduction and implant fixation.
Define unique anatomical considerations of subtrochanteric femur fractures. Technique. Describe the important considerations of positioning, starting point, and nail design when treating a subtrochanteric fracture with a medullary nail. Controversy. Recognize which subtrochanteric fractures are not appropriately treated with a medullary nail ...
Jul 16, 2023 · A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur. Classification. Fractures in these regions can be classified as: intertrochanteric fracture. pertrochanteric: intertrochanteric, involving both trochanters. subtrochanteric fracture. greater trochanteric avulsion fracture. lesser trochanteric ...
Not surprisingly, subtrochanteric fracture has significantly higher rates of malunion and nonunion than other femoral fractures do. Still, with an improved understanding of this fracture and...
Mar 23, 2023 · The goals of therapy for subtrochanteric fractures include the following: Anatomic alignment. Early mobilization. Effective rehabilitation. Today, treatment of these fractures in adults is...
Jan 9, 2015 · Several reduction techniques can be used to overcome the deforming forces present in the proximal femur to allow for proper IMN placement. The purpose of this article is to review the tips, tricks, and pitfalls to avoid in the treatment of subtrochanteric femur fractures with IMN.
Oct 28, 2018 · Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. The purpose of this paper is to examine the recent literature on the epidemiology, classification, initial evaluation, and definitely treatment for these injuries.
Subtrochanteric Hip Fractures Clinical Presentation. Updated: Mar 23, 2023. Author: Mark A Lee, MD; Chief Editor: William L Jaffe, MD more... Print. History and Physical Examination. Physical...
When stress fractures occur in the subtrochanteric region of the hip, they are usually associated with prolonged use of certain osteoporosis medications. Fractures of the femoral head are rare and are usually the result of a high-impact injury or are part of a fracture dislocation of the hip.
Jun 11, 2019 · Subtrochanteric femoral fractures are challenging to manage and differ significantly from both femoral shaft fractures and more proximal femoral injuries in their mechanism, treatment, and complications.
Aug 30, 2019 · Subtrochanteric Fracture: While these fractures are treated similarly, they are somewhat different. In general the surgery is much more challenging because aligning the bone back to its proper anatomical position is quite difficult. This often necessitates a larger incision.
Nov 23, 2017 · Hip fractures are anatomically classified in relation to the hip capsule as intracapsular fractures (i.e., at the femoral neck) or extracapsular fractures (i.e., intertrochanteric or...
Mar 21, 2016 · Subtrochanteric fractures take place in the proximal region of the femur, whose anatomical definition is difficult and controversial. Fielding 1 proposed a definition that is still frequently used: the subtrochanteric region corresponds to the interval between the lesser trochanter and around 5–7.5 cm below it, toward the femoral isthmus.
Jun 7, 2020 · Features unique to subtrochanteric fractures that complicate treatment include both anatomic and biomechanical characteristics. The subtrochanteric area of the femur is primarily cortical bone that heals more slowly and tends to fracture with comminution.
May 2, 2022 · A subtrochanteric fracture is a serious injury that often results from an accident (trauma). Examples of such accidents include falls from height and car accidents. Occasionally, elderly patients with very poor bone quality, may suffer a subtrochanteric fracture after a minor injury, such as a fall from a standing height.
Feb 1, 2021 · Subtrochanteric (ST) femur fractures are proximal femur fractures, which are often difficult to manage effectively because of their deforming anatomical forces.Operative management of ST fractures is the mainstay of treatment, with the two primary surgical implant options being intramedullary (IM) n ….
Oct 28, 2018 · Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. The purpose of this paper is to examine the recent literature on the epidemiology, classification, initial evaluation, and definitely treatment for these injuries.
Apr 11, 2023 · A break or discontinuity in the proximal femur bone within five centimeters of the lesser trochanter is called a subtrochanteric fracture. These fractures are less common, account for approximately 7 to 34 percent of femoral fractures, and have a bimodal distribution.
Feb 1, 2021 · Subtrochanteric (ST) femur fractures are proximal femur fractures, which are often difficult to manage effectively because of their deforming anatomical forces. Operative management of ST fractures is the mainstay of treatment, with the two primary surgical implant options being intramedullary (IM) nails and extramedullary plates.
Feb 2, 2021 · The aim of this study was to define the incidence and investigate the associations with mortality and medical complications, in patients presenting with subtrochanteric femoral fractures subsequently treated with an intramedullary nail, with a special reference to advancement of age.
Age: 80 years. Gender: Female. x-ray. Oblique view of the right pelvis demonstrates a comminuted subtrochanteric fracture (inferior to the greater and lesser trochanters). The proximal fragment appears abducted. The lesser trochanter is itself fractured and separated from the femur. Case Discussion.
