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Hip Injury, Emergency Medicine

Siobhan Gray Reviewed 06/2017
 


Basics

Description

  • Hip injury includes hip fractures and dislocations of the proximal femur due to minor or major trauma or overuse.

  • Hip fracture: Fracture of proximal femur. Classified as intracapsular...

Diagnosis

Signs and Symptoms

History

  • Groin, hip, thigh, medial knee pain, pain with ambulation/weight bearing in the setting of trauma

  • Minor trauma in the elderly due to osteoporosis; high-impact trauma ...

Treatment

Pre-Hospital

  • Neurovascular exam is essential.

  • Immobilize extremity in position of comfort for patient.

Initial Stabilization/Therapy

  • Airway, head, chest, or abdominal injuries take precedence in...

Follow-Up

Disposition

Admission Criteria

  • All hip fractures

  • Septic joint

  • Suspicion of occult fracture

  • Suspicion of NAT in children

  • All pediatric hip fractures and dislocations

  • Most dislocations of hip

Discharge Criteria

Pearls and Pitfalls

  • Location of fracture determines risk factors for morbidity such as AVN and bleeding.

  • Hip dislocations are orthopedic emergencies and require prompt reduction and few attempts.

  • Be sus...

Additional Reading

  • Dominguez  S, Liu  P, Roberts  C, et al. Prevalence of traumatic hip and pelvic fractures in patients with suspected hip fracture and negative initial standard radiographs—a study o...

Codes

ICD9

  • 820.8 Closed fracture of unspecified part of neck of femur

  • 835.00 Closed dislocation of hip, unspecified site

  • 959.6 Hip and thigh injury

  • 820.09 Other closed transcervical fracture of neck of fe...

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