Femur fracture - Revision history

Ostermayer at 17:56, 16 January 2026

2026-01-16T17:56:41Z

← Older revision		Revision as of 17:56, 16 January 2026
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	{{~~Adult top}} [[~~femur fracture (peds)]]		{{AdultPage\|femur fracture (peds)}}
	==Background==		==Background==
	{{Hip anatomy background images}}		{{Hip anatomy background images}}

2025-02-26T20:26:37Z

Background

← Older revision		Revision as of 20:26, 26 February 2025
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	{{Adult top}} [[femur fracture (peds)]]		{{Adult top}} [[femur fracture (peds)]]
	==Background==		==Background==
			{{Hip anatomy background images}}
	*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>

2021-05-13T18:27:49Z

Evaluation

← Older revision		Revision as of 18:27, 13 May 2021
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	===Diagnosis===		===Diagnosis===
	[[File:Cdm hip fracture 343.jpg\|thumb\|Intertrochanteric femur fracture.]]		[[File:Cdm hip fracture 343.jpg\|thumb\|Intertrochanteric femur fracture.]]
			[[File:PMC2823202 ORT-1745-3674-80-303-g001.png\|thumb\|Anterior-posterior radiograph of a patient who sustained a Garden I–II femoral neck fracture.]]

	==Management==		==Management==

2021-05-13T18:18:49Z

Evaluation

← Older revision		Revision as of 18:18, 13 May 2021
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	==Evaluation==		==Evaluation==
	===Proximal===		===Workup===
			====Proximal====
	{{Proximal femur fracture diagnosis}}		{{Proximal femur fracture diagnosis}}

	===Mid-Shaft===		====Mid-Shaft====
	*Plain xrays of femur		*Plain xrays of femur

			===Diagnosis===
			[[File:Cdm hip fracture 343.jpg\|thumb\|Intertrochanteric femur fracture.]]

	==Management==		==Management==

2021-05-13T18:09:14Z

← Older revision		Revision as of 18:09, 13 May 2021
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	{{Femur fracture types}}		{{Femur fracture types}}
			[[File:Fumur Anterior annoted.png\|thumb\|Anterior view.]]
			[[File:Fumur Posterior annoted.png\|thumb\|Posterior view.]]

	==Clinical Features==		==Clinical Features==

2020-10-22T19:42:14Z

← Older revision		Revision as of 19:42, 22 October 2020
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	{{Adult top}} [[femur fracture (peds)]]		{{Adult top}} [[femur fracture (peds)]]
	==Background==		==Background==
	~~[[File:Fumur Anterior annoted.png\|thumb\|Anterior view.]]~~
	~~[[File:Fumur Posterior annoted.png\|thumb\|Posterior view.]]~~
	*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>

2020-10-22T19:21:18Z

Background

← Older revision		Revision as of 19:21, 22 October 2020
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	{{Adult top}} [[femur fracture (peds)]]		{{Adult top}} [[femur fracture (peds)]]
	==Background==		==Background==
	[[File:Fumur Posterior annoted.png\|thumb\|Posterior view]]		[[File:Fumur Anterior annoted.png\|thumb\|Anterior view.]]
			[[File:Fumur Posterior annoted.png\|thumb\|Posterior view.]]
	*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>

2020-10-22T19:20:16Z

Background

← Older revision		Revision as of 19:20, 22 October 2020
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	{{Adult top}} [[femur fracture (peds)]]		{{Adult top}} [[femur fracture (peds)]]
	==Background==		==Background==
			[[File:Fumur Posterior annoted.png\|thumb\|Posterior view]]
	*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>

2019-11-28T23:06:53Z

← Older revision		Revision as of 23:06, 28 November 2019
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	~~''For pediatric patient see~~ [[~~Femur~~ fracture (peds)]]''		{{Adult top}} [[femur fracture (peds)]]
	==Background==		==Background==
	*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>		*Despite good care, proximal fracture 30-day all cause mortality is 22% and grows to 36% at one year<ref>Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7.</ref>

2019-09-18T04:56:25Z

← Older revision		Revision as of 04:56, 18 September 2019
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	**3 in 1 block (femoral, obturator, lateral cutaneous nerve of thigh)		**3 in 1 block (femoral, obturator, lateral cutaneous nerve of thigh)
	**No difference in 2 blocks listed above, which both reduced pain scores in the ED. <ref>Reavley P, et al. Randomised trial of the fascia iliaca block versus the ‘3-in-1’ block for femoral neck fractures in the emergency department. Emerg Med J. 2014 Nov 27.</ref>		**No difference in 2 blocks listed above, which both reduced pain scores in the ED. <ref>Reavley P, et al. Randomised trial of the fascia iliaca block versus the ‘3-in-1’ block for femoral neck fractures in the emergency department. Emerg Med J. 2014 Nov 27.</ref>
	*Most fractures, including all displaced, are treated with ORIF
	**Exception is isolated trochanteric fracture often does not require surgery
	**See individual pages for further discussion

	*Type and cross/screen for patients at higher risk of hemorrhage:		*Type and cross/screen for patients at higher risk of hemorrhage:
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	==Disposition==		==Disposition==
	*Generally requires admission for operative repair		*Generally requires admission for operative repair

			===Specialty Care===
			*Most fractures, including all displaced, are treated with ORIF
			**Exception is isolated trochanteric fracture often does not require surgery
			**See individual pages for further discussion

	==See Also==		==See Also==