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subtrochanteric fracture
Etiology:
1) falls
2) pathologic fractures from neoplastic disease
3) risk increased with bisphosphonates ?? [2]
Epidemiology:
1) males
2) vigorously active elderly
Management:
1) surgical fixation, with extramedullary nails/rods
2) fix neoplastic fracture if life span > 30 days & associated with significant pain
3) no range of motion restrictions
4) weight-bearing determined by surgeon
Related
greater trochanter
Specific
subtrochanteric stress fracture
General
femoral fracture; fracture of the femur (hip fracture)
References
- Genova, A, UCLA Intensive Course in Geriatric Medicine & Board
Review, Marina Del Ray, CA, Sept 12-15, 2001
- FDA Medwatch
Oral Bisphosphonates: Ongoing Safety Review of Atypical
Subtrochanteric Femur Fractures
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm204127.htm