Hip Fracture

Femoral fractures

FIGURE 5-22. A,B: Anteroposterior (AP) and lateral x-rays showing an undisplaced intertrochanteric fracture in a 30-year-old laborer who fell 12 feet onto his hip while at work. He was treated symptomatically with bed rest for 2 days and then was up on crutches and out of the hospital. C,D: AP and lateral x-rays show healing evident at 4 weeks when the patient was able to return to work on a full-time basis. It's questionable whether this would have been likely if he had been treated with ...

FIGURE 23-2. Intertrochanteric fractures: sliding hip screw. Stable fracture. Notice that the posteromedial cortex remains intact.

FIG. 22.32. A Salter-Harris type II fracture of the right distal femoral physis in a 9-year-old boy. Widening of the growth plate is seen medially (large arrow), and a small metaphyseal fragment has been displaced laterally (small arrow). Closed reduction was successful. In an adult, the same mechanism of injury would have resulted in a medial collateral ligament sprain or tear.

<bold>FIGURE 113.41</bold> (<i>A</i>) Salter-Harris type III epiphyseal fracture of the medial femoral condyle in 14-year-old boy. (<i>B</i>) Anteroposterior radiograph after anatomic open reduction and internal fixation with cannulated lag screws. (<i>C</i>) Postoperative lateral radiograph of type III medial femoral condylar epiphyseal fracture. Note that lag screws avoid the growth plate on both views. Premature closure of the medial portion of d...

FIGURE 16-3. Anteroposterior radiograph of a 62-year-old patient's distal femur. The patient had pain for 4 weeks before sustaining a nondisplaced fracture through a lesion in her distal lateral femur. Its appearance on the plain radiograph is suggestive of a metastatic lesion. No other lesions were found and a biopsy was done. The lesion proved to be a primary malignant fibrohistiocytoma of bone. She had a limb salvage resection after preoperative chemotherapy.