Questions and Answers
What is the most common type of proximal femur fracture?
Intertroch
What are the types of imaging used for intertroch fractures? (Select all that apply)
Describe the classification system for grading intertrochanteric fractures.
Stable or Unstable
What is a basicervical fracture?
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Name two popular methods for repairing intertrochanteric fractures.
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What measurement is used to determine screw position in the repair of intertrochanteric fractures?
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Study Notes
Proximal Femur Fractures
- Intertrochanteric fractures (Intertroch) are the most common type of proximal femur fractures.
Imaging Techniques
- Diagnosis of intertrochanteric fractures involves:
- Anteroposterior (AP) pelvis imaging
- AP femur imaging
- Lateral (X-Lat) femur imaging
Classification System
- Intertrochanteric fractures are classified as stable or unstable.
- Evaluation of the posteromedial cortex is crucial, particularly for assessing comminution.
Basicervical Fractures
- Basicervical fractures occur just proximal to or along the intertrochanteric line.
- Although technically a femoral neck fracture, they behave similarly to intertrochanteric fractures.
Repair Methods
- Two common surgical methods for repairing intertrochanteric fractures include:
- Sling Hip Screw
- Cephalomedullary Nail
Screw Position Measurement
- The tip-apex distance is the critical measurement used to determine screw positioning during the repair of intertrochanteric fractures.
- Optimal positioning is assessed using both AP and lateral views.
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Description
Test your knowledge on intertrochanteric fractures with this set of flashcards. Learn about common types, imaging techniques, and classification systems related to proximal femur fractures. Perfect for medical students and professionals looking to sharpen their understanding of orthopedic injuries.
