logging in or signing up Femoral Neck Fracture Powerpoint final amason360 Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1309 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: June 11, 2012 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Femoral Neck Fracture : Femoral Neck Fracture Angie Mason Bela Mistry Somadina UmehTypes of Femoral Neck Fractures: Types of Femoral Neck Fractures All Intracapsular Subcapital Transcervical Basilar (base of neck) Garden’s Classification I- Incomplete II-Complete but undisplaced III-Partially Displaced IV-Completely DisplacedIncidence: Incidence Approximately 250,000 people have hip fractures per year in the U.S. Almost 50% of those are in people over the age 80. More commonly seen in females than in males 95% of femoral neck fractures are displacedCauses of Femoral Neck Fracures: Causes of Femoral Neck Fracures Falls Osteoporosis Trauma “The fracture is the cause of the fall rather than the result of it.”-SalterSigns and Symptoms: Signs and Symptoms Difficulty walking Swelling in leg Inability to walk Severe pain Bruising over hip joint Low back pain Foot turned out at an odd angle (external rotation)Diagnosis/ Prognosis: Diagnosis/ Prognosis Diagnosis X-ray MRI CT-scan Prognosis Variable 1 in 4 patients die within a year of the injury Prognosis “ The Unsolved Fracture” Prone to multiple complications One of the most difficult fractures to treat Healing duration is dependent on endosteal callus formation PT Prognosis Depends on type of injury, age, co-morbidities, and treatment compliance.Role of Imaging: Role of Imaging Degree of damage Location of fracture Total hip arthroplasty alignment Angle of femoral head in acetabulumForm of Imaging BEST used: Form of Imaging BEST used Anterior-Posterior on a standard radiograph Lateral view on a standard radiographRadiographic Features (A/P View): Radiographic Features (A/P View) Neck of Femur appears shortened Distal fragment External Rotation Shifted Proximally A/P and Lateral views are required to establish proper alignment between fragmentsImages and Findings: Images and FindingsBiomechanical Concerns: Biomechanical Concerns Leg length discrepancy Avascular Necrosis More common in Type III & IV Decreased femoral neck angle Delayed union and malunionTreatment: Treatment Surgical Total Hip Arthoplasty Rehabilitation PT Improve range of motion Functional tasks Gait Strengthen weaken musclesQuestions: Questions 1. Name 3 interventions a PT could implement to increase ROM, strength, and function for a patient with a posterior-lateral approach and why. 2. Using ABC’s identify the common characteristics you would see on a standard radiograph image for a femoral neck fracture.References: References Salter RB. Textbook of Disorders and Injuries of the Musculoskeletal System. Baltimore, MD: Williams & Wilkins; 1999: 632-640. Medical Disablility Guidelines. Femoral Neck Fracture . http://www.mdguidelines.com/fracture-femoral-neck. Accessed May 31, 2012. The University of Chicago-Medicine. Hip Fracture . http://www.uchospitals.edu/online-library/content=P08957. Accessed May 31, 2012. Wheeless’ Textbook of Orthopaedics. Fractures of Femoral Neck . http://www.wheelessonline.com/ortho/fractures_of_the_femoral_neck. Accessed June 7, 2012 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.