Is a greater trochanter fracture a hip fracture?
Isolated fracture of the greater trochanter is an uncommon presentation of hip fracture. Traditional teaching has been to manage these injuries nonoperatively, but modern imaging techniques have made it possible to detect occult intertrochanteric extension of the fracture in up to 90% of cases.
What is trochanteric fracture?
Definition. Trochanteric fracture involves the proximal femur between the cervical region and the shaft. Subtrochanteric fracture, with a fracture line running from an area within 5 cm distal to the lesser trochanter, is usually also included in the definition [6].
What causes a greater trochanter fracture?
Greater trochanteric fractures generally result from forceful muscle contraction of a fixed limb, which usually occurs in those who are young and physically active. It can also be caused by direct trauma.
What is the greater trochanter?
The bony bump over the side of the hip is called the greater trochanter. A tight band about two inches wide, called the IT band, passes over this bump from the pelvis on its way down the leg.
How long does it take for a trochanter fracture to heal?
Most people are able to return to work 4 weeks to 4 months after surgery. But it may take 6 months to 1 year for you to fully recover. Some people, especially older people, are never able to move quite as well as they used to. You heal best when you take good care of yourself.
Can you walk with a fractured hip?
Limited mobility: Most people with a hip fracture can’t stand or walk. Sometimes, it may be possible to walk, but it’s extremely painful to put weight on the leg. Physical changes: You may have a bruise on your hip. One of your legs may appear shorter than the other.
What is intracapsular hip fracture?
Hip fractures are classified according to their anatomical location as intracapsular, which involves the femoral head and neck, and extracapsular, which includes intertrochanteric, trochanteric, and subtrochanteric fractures.
Which type of femur fractures make up 10 30 of all hip fractures?
Subtrochanteric fractures are relatively common, accounting for approximately 10% to 30% of all hip fractures [4, 16].
What are the different types of Trochanteric fractures?
Fractures in these regions can be classified as: 1 intertrochanteric. 2 pertrochanteric: intertrochanteric, involving both trochanters. 3 subtrochanteric. 4 greater trochanteric avulsion fracture. 5 lesser trochanteric avulsion fracture.
What is an intertrochanteric femur fracture?
Summary Intertrochanteric femur fractures are extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter, most commonly seen following ground level falls in the elderly population. Diagnosis is made with orthogonal radiographs of the hip in patients that present with inability to bear weight.
What is the fielding classification of Subtrochanteric fractures?
The Fielding classification of subtrochanteric fractures is based on the level of the subtrochanteric region through which the fracture extends: type I: at the level of the lesser trochanter (most common) type II: within the region 2.5 cm below the lesser trochanter
What is the difference between Type 1 and Type 2 trochanters?
type I: at the level of the lesser trochanter (most common) type II: within the region 2.5 cm below the lesser trochanter. type III: within the region 2.5 cm to 5 cm below the lesser trochanter (least common)