Most hip injuries are due to low energy trauma (minor falls, sports injury). Occasionally, the mechanism of injury or even the time of occurrence may be unknown, for example in the case of an elderly demented patient. High energy injuries are usually evaluated during the trauma secondary survey. The initial exam should consist of inspecting the limb for shortening or rotational deformity, skin condition, neurological function, and vascular status. Manipulation of the extremity should be avoided until radiographs are obtained.
KeywordsFemoral Neck Avascular Necrosis Intertrochanteric Fracture Pubic Rami Rotational Deformity
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