This is taken into consideration when surgical repair is considered. In more complicated cases, the amount of breakage of the bone can involve more than one of these zones. This fracture occurs below the lesser trochanter, in a region that is between the lesser trochanter and an area approximately 2 1/2 inches below. It acts as another muscle attachment point. The greater trochanter is the bump you can feel under the skin on the outside of the hip. Intertrochanteric fractures generally cross in the area between the lesser trochanter and the greater trochanter. The lesser trochanter is an attachment point for one of the major muscles of the hip. This fracture occurs between the neck of the femur and a lower bony prominence called the lesser trochanter. The capsule is the soft-tissue envelope that contains the lubricating and nourishing fluid of the hip joint itself. These fractures occur at the level of the neck and the head of the femur, and are generally within the capsule. The type of fracture depends on what area of the upper femur is involved. In general, there are three different types of hip fractures. What are different types of hip fractures? Computed tomography, however, is not as sensitive as MRI for seeing hidden hip fractures. If the patient is unable to have an MRI scan because of an associated medical condition, computed tomography (CT) may be obtained instead. The MRI scan will usually show a hidden fracture. In that case, magnetic resonance imaging (MRI) may be recommended. In some cases, if the patient falls and complains of hip pain, an incomplete fracture may not be seen on a regular X-ray. How is a femur shaft fracture diagnosed? ImagingĪ hip fracture can be diagnosed with an x-ray image of the hip and femur.Īn MRI may identify a hip fracture otherwise missed on plain X-ray. The patient will often hold the injured leg in a still position with the foot and knee turned outward (external rotation). If the bone is completely broken, the leg may appear to be shorter than the noninjured leg. If the bone has been weakened by disease (such as a stress injury or cancer), the patient may notice aching in the groin or thigh area for a period of time before the break. There will be pain with any attempt to flex or rotate the hip. The patient with a hip fracture will have pain over the outer upper thigh or in the groin. In severe cases, it is possible for the hip to break with the patient merely standing on the leg and twisting. Some medical conditions such as osteoporosis, cancer, or stress injuries can weaken the bone and make the hip more susceptible to breaking. Hip fractures most commonly occur from a fall or from a direct blow to the side of the hip. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture. The extent of the break depends on the forces that are involved. We offer diagnosis and treatment in over 70 specialties and subspecialties, as well as programs, services, and support to help you stay well throughout your lifetime.Ī hip fracture is a break in the upper quarter of the femur (thigh) bone. BMC physicians are leaders in their fields with the most advanced medical technology at their fingertips and working alongside a highly skilled nursing and professional staff.
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