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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

  1. Genova, A, UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  2. FDA Medwatch Oral Bisphosphonates: Ongoing Safety Review of Atypical Subtrochanteric Femur Fractures http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm204127.htm