Describe clinical features and diagnostics.
Hip pain with swelling
Shortened and externally rotated leg
X-ray : fracture between the lesser trochanter up to 5cm below that (distally)
MRI if a pathological fracture is suspected
Describe the treatment.
Consider conservative approach (e.g., traction) in surgically unstable patients
Surgery is indicated in displaced/nondisplaced fractures in adults, especially if associated with multiple trauma, an open fracture, or pathological fractures
Long intramedullary nail with a lag screw
Locking plate may be considered for complicated fractures (e.g., pre-existing femoral deformity, associated femoral neck fracture)