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List clinical features and diagnostics.
Clinical features
Groin pain
Shortened and externally rotated leg
Minimal bruising
Diagnostics
X-ray (AP and lateral view of the pelvis with internal rotation of the affected limb)
MRI or bone scan if clinical suspicion is high despite absent findings on x-ray
Garden classification.
Describe the treatment.
Conservative management
Indication: stable, nondisplaced fractures, especially abduction fractures , mostly in debilitated patients
Methods
Temporary bed rest or use of crutches followed by mobilization with physical therapy
Venous thromboembolism prophylaxis [33]
Surgery (usually within 72 hours ) is indicated for unstable fractures , typically adduction fractures, and fragment dislocation
For children and young adults
Attempt preservation of the femoral head
Early open reduction internal fixation (ORIF) (within 6 hours)
For older adults: total hip replacement (THR) or hip hemiarthroplasty
Zuletzt geändertvor 2 Jahren