It is usually treated like an Intertrochanteric fracture. How is an ORIF basicervical hip fracture treated? This fracture occurs at the junction of the femoral neck with… The term Basicervical fracture of the hip/femur is a variation of the terminology for a Base Neck fracture of the femur, also called Cervicotrochanteric fracture of the femur in ICD-10 (which has made a real mess of the organization and coding of proximal femoral fractures). Where does a basicervical fracture of the hip occur? Taking steps to maintain bone density and avoid falls can help prevent a hip fracture. Do all hip fractures need surgery?Ī hip fracture almost always requires surgical repair or replacement, followed by physical therapy. Further, there is a 15° anteversion angle between the plane passing through the condyles of the femoral head and the femur neck. There is a 125°–130° inclination angle between the head and neck and the femoral body. Proximal femur includes the femoral head, neck and the region 5-cm distal to the lesser trochanter. The femur articulates proximally with the acetabulum of the pelvis to form the hip joint, and distally with the tibia and patella to form the knee joint. The femur or thigh bone is found in the upper leg and is the longest bone in the body. Intertrochanteric femur fractures are extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter, most commonly seen following ground level falls in the elderly population. Where is an intertrochanteric femur fracture? It is the posterior point of attachment for the joint capsule of the hip. The intertrochanteric crest, not to be confused with the intertrochanteric line, is a ridge on the femur located at the posterior aspect of the junction between the femoral neck and shaft, traversing between the greater and lesser trochanters. Where is the intertrochanteric crest located? Lehman, “Subtrochanteric femur fractures: A comparison of the zickel nail, 95° blade plate, and interlocking nail,” Journal of Orthopaedic Trauma, vol. It is seldom mentioned in the authorized orthopaedic textbooks, and it lacks an exact definition in the most commonly used classifications. Is a Basicervical fracture intracapsular?īasicervical fracture is a controversial type of hip fracture, which can be regarded as either extracapsular or intracapsular. All parts of the proximal femur play a role in creating and stabilizing the hip joint. The proximal end of the femur features the femoral head, femoral neck, and the greater and lesser trochanters. The intertrochanteric area of the femur is distal to the femoral neck and proximal to the femoral shaft it is the area of the femoral trochanters, the lesser and the greater trochanters (see the image below).Ī long bone and the strongest bone in the body, the proximal end of the femur plays a significant role in the hip joint. 5 Can a hip fracture be a basic fracture?īasicervical hip fracture of the proximal part of the femur defined as a two-part fracture at the base of the femoral neck that was medial to the intertrochanteric line, exiting above the lesser trochanter but was more lateral than a classic transcervical fracture.3 Where is an intertrochanteric femur fracture?.2 Is a Basicervical fracture intracapsular?.
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