【PPT】Hip Fractures - 醫(yī)學資源下載
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[導讀] 【PPT】Hip Fractures - 醫(yī)學資源下載 資源作者:百丈 資源分類:醫(yī)學 - 外科學 資源屬性:PPT 資源售價:1 愛醫(yī)幣 資源大?。?.93M 關注入數(shù):410 人次 評論人數(shù):0
【PPT】Hip Fractures - 醫(yī)學資源下載
資源作者:
百丈 資源分類:
醫(yī)學 -
外科學 資源屬性:
PPT 資源售價:1 愛醫(yī)幣
資源大?。?.93M
關注入數(shù):410 人次
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上傳日期:2011-09-12 01:42:16
Hip Fractures.ppt
Overview
Anatomy
Blood Supply
intracapsular are at risk of non union and avascular necrosis due to interruption of the blood supply to the femoral head
Via cruicate (med and lat circumflex) and intramedullary
Garden classification
Anatomy of Femur
Risk Factors
Age: >65 years
Co-morbid factors: osteoporosis, endocrine disorders (hyperthyroidism, hypogondaism), GIT disorders interfering with calcium/ Vit D absorption, neurological disorders (Parkinsons, MS)
Gender: F
RTA
Risk Factors
Osteoporosis:
Presentation
P/C: severe pain, bruising, swelling
unable to weight bear on that leg.
O/E: may have shortened leg with external rotation
Investigations
Classification
Classified on geographical position:
intracapsular:
Subcaptial
Transcervical
basicervical
Extracapsular:
Intertrochanteric
subtrochanteric
Garden Classification
Garden I: incomplete fracture of the femoral neck
Garden II: complete fract