Femoral head fracture - Revision history

Rossdonaldson1: /* Clinical Features */

2021-03-17T23:33:54Z

Clinical Features

← Revisión anterior		Revisión del 23:33 17 mar 2021
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	==Clinical Features==		==Clinical Features==
			[[File:Heupfractuur.jpg\|thumb\|Hip fracture with shortened and externally rotated leg.]]
	*Results from high-energy trauma (e.g. dashboard to flexed knee)		*Results from high-energy trauma (e.g. dashboard to flexed knee)
	*Can occur with [[hip dislocation\|dislocation]]:		*Can occur with [[hip dislocation\|dislocation]]:

2020-10-22T19:42:40Z

← Revisión anterior		Revisión del 19:42 22 oct 2020
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	==Background==		==Background==
	~~[[File:Fumur Anterior annoted.png\|thumb\|Anterior view.]]~~
	~~[[File:Fumur Posterior annoted.png\|thumb\|Posterior view.]]~~
	===Anatomy===		===Anatomy===
	*Blood supply		*Blood supply

2020-10-22T19:30:06Z

Differential Diagnosis

2020-10-22T19:23:51Z

← Revisión anterior		Revisión del 19:23 22 oct 2020
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	****from the obturator artery or MCFA		****from the obturator artery or MCFA
	****supplies perifoveal area		****supplies perifoveal area

			{{Femur fracture types}}

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

2020-10-22T19:22:46Z

Background

← Revisión anterior		Revisión del 19:22 22 oct 2020
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	==Background==		==Background==
			[[File:Fumur Anterior annoted.png\|thumb\|Anterior view.]]
			[[File:Fumur Posterior annoted.png\|thumb\|Posterior view.]]
	===Anatomy===		===Anatomy===
	*Blood supply		*Blood supply

2019-09-28T17:50:06Z

Clinical Features

← Revisión anterior		Revisión del 17:50 28 sep 2019
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	==Clinical Features==		==Clinical Features==
	*Results from high-energy trauma (e.g. dashboard to flexed knee)		*Results from high-energy trauma (e.g. dashboard to flexed knee)
	*Can occur with dislocation:		*Can occur with [[hip dislocation\|dislocation]]:
	**Posterior dislocation		**Posterior dislocation
	***Affected leg appears shortened, internally rotated, adducted		***Affected leg appears shortened, internally rotated, adducted

2019-09-18T05:41:37Z

Management

← Revisión anterior		Revisión del 05:41 18 sep 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*Immediate ortho consult		*Immediate ortho consult
	*Emergent closed reduction of dislocation

	==Disposition==		==Disposition==

2017-08-08T14:16:53Z

Evaluation

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	==Evaluation==		==Evaluation==
	{{Proximal femur fracture diagnosis}}		{{Proximal femur fracture diagnosis}}
			*Classified using the Pipkin System
			**Type 1 - Frx below fovea/ligamentum (small)
			**Type 2 - Frx above fovia/ligamentum
			**Type 3 - Type 1 or 2 associated with femoral neck frx
			**Type 4 - Type 1 or 2 associated with acetabular frx

	==Management==		==Management==

2017-08-08T14:12:51Z

Background

← Revisión anterior		Revisión del 14:12 8 ago 2017
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	==Background==		==Background==
			===Anatomy===
			*Blood supply
			**Femoral head has 3 sources of arterial supply
			***extracapsular arterial ring
			****medial circumflex femoral artery (main supply to the head)
			*****from profunda femoris
			****lateral circumflex femoral artery
			***ascending cervical branches
			***artery to the ligamentum teres
			****from the obturator artery or MCFA
			****supplies perifoveal area

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

2017-08-08T14:09:40Z

Clinical Features

← Revisión anterior		Revisión del 14:09 8 ago 2017
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	***Affected leg appears shortened, externally rotated, abducted		***Affected leg appears shortened, externally rotated, abducted
	***Fracture of anterior femoral head; concomitant vascular injury		***Fracture of anterior femoral head; concomitant vascular injury
			*Associated Conditions:
			**[[Femoral neck fracture]]
			**acetabular fracture
			**sciatic nerve neuropraxia
			**ipsilateral knee ligamentous instability

	==Differential Diagnosis==		==Differential Diagnosis==