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Table 6-39

RiskTypesAssessmentSurgical Intervention
  • Osteoporosis
  • Age >60
  • Women (white)
  • While postmenopausal
  • Immobility/sedentary lifestyle
Intracapsular (femoral neck; within hip joint and capsule)
  • Slight trauma
  • Pain: groin and hip
  • Lateral rotation, shortening of leg, minimal deformity
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
Subtrochanteric (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