Describe clinical features and diagnostics.
Hip pain and swelling
Shortened and externally rotated leg
Often associated with other injuries (e.g. other extremity fractures)
X-ray (AP view with maximal internal rotation and lateral view): proximal femur fracture between the greater and lesser trochanters
MRI if a pathological fracture is suspected
Describe the treatment.
Nonsurgical approach for high risk patients
Dynamic hip screw (DHS) for stable fractures
Intramedullary nail (Gamma nail) for stable or unstable fractures, fractures extending into the subtrochanteric region, or reverse oblique fractures
Arthroplasty may be considered for comminuted fractures, pathological fractures, or if other surgical modalities fail.