The clinical presentation of patients who have sustained a fracture of the proximal femur can vary widely depending on the type, severity, and cause of the fracture. Displaced fractures are clearly symptomatic; such patients usually cannot stand, much less ambulate. On the other hand, there are patients with nondisplaced or impacted fractures who may be ambulatory and experience minimal pain, as well as cases in which patients complain of thigh or groin pain but have no history of antecedent trauma. In each situation, it is incumbent on the clinician to exclude the possibility of hip fracture in any individual who complains of thigh or groin pain.
KeywordsProximal Femur Femoral Neck Fracture Groin Pain Alcoholic Hepatitis Magnetie Resonance Imaging
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- 3.Soto-Hall R. Treatment of transcervical fractures complicated by certain common neurological conditions. Instr Course Lect 1960; 17:117–120.Google Scholar
- 4.Brummel-Smith K. Polypharmacy and the elderly patient. Archives of the American Academy of Orthopaedic Surgeons 1998; 2:39–44.Google Scholar
- 6.Swiontkowski MF. Intracapsular hip fractures. In: Browner BD, Levine AM, Jupiter JB, Trafton PG, eds. Skeletal Trauma, Vol 2. Philadelphia: WB Saunders, 1992:1751–1832.Google Scholar
- 8.Guanache CA, Kozin SH, Levy AS, Brody LA. The use of MRI in the diagnosis of occult hip fracture in the elderly: a preliminary report. Orthopedics 1994; 17:327–330.Google Scholar
- 12.Karp A. Preoperative medical evaluation. In: Koval K, Zuckerman J, eds. Fractures in the Elderly. Philadelphia: Lippincott-Raven, 1998:35–39.Google Scholar
- 13.Fleisher LA, Eagle KA. Screening for cardiac disease in patients having non-cardiac surgery. Ann Intern Med 1966; 24:767–772.Google Scholar
- 17.Freedman ML, Sutin DG. Blood disorders and their management in old age. In: Tallis RC, Fillit HM, Brocklehurst JC, eds. Brocklehurst’s Textbook of Geriatric Medicine and Gerontology. 5th ed. Edinburgh: Churchill Livingstone, 1998:1247–1291.Google Scholar