TABLE 7-40 Fractures of the Hip

Risk Factors	Types	Assessment	Surgical Intervention
Osteoporosis Age > 60 Women Caucasian Postmenopausal Immobility/sedentary	Intracapsular (femoral neck; within hip joint and capsule)	Slight trauma Pain, groin and hip Lateral rotation, shortening of leg,	Total hip replacement
	Extracapsular (outside hip joint; also called intertrochanteric)	Direct trauma Severe pain External rotation, shortening of leg, obvious deformity	Internal fixation with nail (open reduction) Possible total hip replacement
	Sabtrochanteric(below lesser trochanter)	Direct trauma Leg pain near fracture site External rotation, shortening of leg, deformity Presence of hematoma	Internal fixation with nail (open reduction) Closed reduction

Risk Factors

Types

Assessment

Surgical Intervention

Osteoporosis

Age > 60

Women

Caucasian

Postmenopausal

Immobility/sedentary

Intracapsular (femoral neck; within hip joint and capsule)

Slight trauma

Pain, groin and hip

Lateral rotation, shortening of leg,

Total hip replacement

Extracapsular (outside hip joint; also called intertrochanteric)

Direct trauma

Severe pain

External rotation, shortening of leg, obvious deformity

Internal fixation with nail (open reduction)

Possible total hip replacement

Sabtrochanteric(below lesser trochanter)

Direct trauma

Leg pain near fracture site

External rotation, shortening of leg, deformity

Presence of hematoma

Internal fixation with nail (open reduction)

Closed reduction