Hip Fractures

Hip fractures can occur in the head, neck or the area between or among the Trochanterspitzen (protuberances) of the femur. These fractures often occur in the elderly, especially in osteoporotic patients (and result mostly from falls to the ground osteoporosis). Diagnosis is made by radiography and, if necessary, an MRI. Treatment is usually with open reduction with internal fixation or hemiarthroplasty or total hip sometimes.

Most hip fractures are caused by falls, but rich in older people, it seems, even minimal effects of (z. B. turn in bed, get up from a chair, running) to cause a fracture. The reason is usually that osteoporosis has weakened the bone. Breaking points are

Hip fractures can occur in the head, neck or the area between or among the Trochanterspitzen (protuberances) of the femur. These fractures often occur in the elderly, especially in osteoporotic patients (and result mostly from falls to the ground osteoporosis). Diagnosis is made by radiography and, if necessary, an MRI. Treatment is usually with open reduction with internal fixation or hemiarthroplasty or total hip sometimes. Most hip fractures are caused by falls, but rich in older people, it seems, even minimal effects of (z. B. turn in bed, get up from a chair, running) to cause a fracture. The reason is usually that osteoporosis has weakened the bone. Breaking points are femoral head femoral neck (subcapitally) Intertrochantär subtrochanteric Subcapital intertrochanteric fractures are among the most common forms. Complications include osteonecrosis of the femoral neck fractures with pseudoarthrosis osteoarthritis complications are more common in older patients with a displaced femoral neck fracture. Symptoms and complaints hip fractures lead to go most often in the groin pain and disability. Sometimes the pain radiates to its knees and is therefore misinterpreted as a knee problem. Just as fractures of the pubic ramus can cause pelvic pain or pain in the genital area. Patients with displaced fractures can not go and have significant pain; the affected leg may appear shortened and externally rotated. In contrast, patients can go with submerged fractures to be able and have little pain and no clear malformation. However, these patients are not able to bend the entire lower limb with the knee against resistance in general. The passive hip rotation with the knee flexed leads to the increase in pain; this can be to differentiate between a hip fracture and an extra-articular process such. be as a trochanteric bursitis, used. Diagnostic X-rays rarely MRI or CT Diagnosis begins with an anteroposterior radiograph of the pelvis and a “cross-table” side view. When a break is detected, radiographs should be performed by the entire femur. The subtle detection of a break (for. Example, as if fractures minimal moved or influenced are) may contain irregularities in the trabecular density of the femoral neck and the bone cortex. However, X-rays are sometimes discreetly, especially in patients with subcapital fractures or severe osteoporosis. Intertrochanteric hip fracture Science Photo Library var model = {thumbnailUrl: ‘/-/media/manual/professional/images/m3300132_intertrochanteric_hip_fracture_science_photo_library_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – / media / manual / professional / images / ? lang = en & m3300132_intertrochanteric_hip_fracture_science_photo_library_high_de.jpg thn = 0 ‘, title:’ Intertrochanteric hip fracture ‘, description:’ ‘credits’ Science Photo Library’, hideCredits: false, hideTitle: false, hideFigure: false, hideDescription: true}; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( ‘image-element-panel.’). ko.applyBindings (model, panel.get (0)); If a break is not on radiographs visible but still clinically suspected, an MRI is performed because it has an almost 100% sensitivity and specificity for occult fractures. CT is less sensitive alternative. Tips and risks, when X-rays show no break in, but clinically suspected, perform an MRI. Therapy Usually open reduction with internal fixation (ORIF). Sometimes femoral neck prosthesis or total hip replacement. The vast majority of hip fractures treated surgically in order to minimize the duration of the pain and because the longer bed rest (hospital admission: effects of bed rest)., Which is required by the non-surgical treatment, the risk of serious complications (eg increased deep vein thrombosis, decubitus, deconditioning, pneumonia, death), especially in the elderly. With the rehabilitation is started as soon as possible (rehabilitation after hip surgery). Prophylactic anticoagulation can cause a reduction in the incidence of venous thrombosis as a result of hip fracture. Femoral neck fractures non-displaced and affected femoral neck fractures in the elderly and all femoral neck fractures in younger patients are usually treated with ORIF. Displaced femoral neck fractures in the elderly are usually treated with total hip arthroplasty (replacement) to allow unrestricted early load and to minimize the likelihood that further surgery is required. Older patients who walk very little and so the hip little strain, are usually treated with hemiarthroplasty (only the proximal femur is replaced); active elderly patients are increasingly the hip treated (the proximal femur is replaced, and the socket is brought to the surface). A hip replacement surgery is extensive and is more at risk, but results in better function. Intertrochanteric fractures intertrochanteric fractures are usually treated with ORIF. Open reduction with internal fixation (ORIF). Important Points hip (especially subcapital and intertrochanteric) fractures are common in elderly patients with osteoporosis. Osteonecrosis of the femoral head, fracture with nonunion and osteoarthritis are common complications. Turn in all patients with unexplained hip or knee pain and difficulty walking due to pain the hip with the knee bent; if this maneuver aggravates the pain, a hip fracture is possible. If a fracture is suspected based on clinical findings, but can not be seen on X-rays, perform an MRI. Treat the most fractures surgery (ORIF or hip replacement) so that the patient can go back as soon as possible.

Health Life Media Team

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