USMLE Forum Archives - USMLE Step 2 CK - Hip pain
Hip pain
laparotomy - 01-26-08 13:24
A 45 year old lady presents to your emergency department with a sudden onset of left hip pain. She is having difficulty weight bearing. You order an Xray which shows a displaced fracture of the tip of the greater trochanter.
What is your next step in management?
laparotomy - 01-26-08 13:24
A 45 year old lady presents to your emergency department with a sudden onset of left hip pain. She is having difficulty weight bearing. You order an Xray which shows a displaced fracture of the tip of the greater trochanter.
What is your next step in management?
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#2
Re: Hip pain
laparotomy - 01-27-08 04:43 And what type of surgery? Total hip replacement? Dynamic hip screw? Intramedullary nail? or what?
#4
Re: Hip pain laparotomy - 01-27-08 14:08 Actually if it is only the tip that is fractured then it is conservative management, with weight bearing with crutches as tolerated. Intramedullary nailing is for fractures of the shaft of the femur.
#6
Re: Hip pain laparotomy - 01-28-08 15:19 
posted by radhamesramos on 01-28-08 12:03
thanks
thanks
You are welcome.
#7
Re: Hip pain yarub14 - 01-28-08 17:25 how about ORIF? Open Reduction Internal fixation... is that same as Intramedullary nailing ?
#8
Re: Hip pain laparotomy - 01-29-08 03:35 ORIF is when you open the skin to see the broken bone and usually place a plate on it. IM nailing is when you make an incision on the proximal and distal part of the bone, drill a hole in the medulla (marrow of the bone, hence the name) and place the "metal rod" into the bone and then fix it at the distal end.
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