Presentation
Fall at home. Spent the night on the floor because she was unable to get back up. Family found her in the morning. RIght hip pain.
Patient Data
Age: 70 years
Gender: Female
Look at the film on the next tab and think about how you would report it (or how you'd describe it to a colleague over the phone).
From the case:
Subtrochenteric femoral neck fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/28397/annotated_viewer_json?lang=us"}
Right subtrochenteric femoral neck fracture.
Hopefully, you saw the right sided femoral neck fracture. And hopefully you used a systematic approach to look at the fracture and describe it.
One approach uses the mnemonic OLDACIDS:
- O: (open or closed) - no description of an open fracture was given
- L: (location) -
- D: (degree) -
- A: (articular involvement) - none
- C: (comminution/type) - subtrochenteric
- I: (instrinsic bone quality) - normal
- D: (displacement) -
- S: (soft tissue injury) -
Case Discussion
There is an obvious right subtrochenteric femoral neck fracture, but it is important to approach the film with a systematic approach to ensure that you don't miss additional subtle abnormalities.
Unable to process the form. Check for errors and try again.