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$Femoral neck vs intertrochanteric fracture$

Anterior impingement test: On flexion, adduction, internal rotation of the hip produces pain.Evaluates articular cartilage damage, and labral degeneration and tears.Crossover sign: It is a sign of acetabular retroversion seen in Pincer impingement.Pistol grip deformity: It is asphericity and contour of femoral head and neck indicating Cam impingement.Ficart and Arlet as well as Steinberg classification of avascular necrosis is done radiologically.

$femoral neck vs intertrochanteric fracture$ $femoral neck vs intertrochanteric fracture$

Passive internal and external rotation of the extended leg may elicit pain due to synovitis.

MRI shows bone marrow edema and rail track sign.

In advanced stage, subchondral collapse (ie, crescent sign), femoral head flattening and joint space narrowing is seen.

Early x-ray findings include lucency of the femoral head and subchondral sclerosis.

Culture of the infecting organisms in the fluid is confirmatory.

Hip aspiration may reveal frank pus or a turbid fluid.

It also demonstrates damage to the articular cartilage.

Lateral hip pain near the greater trochanter and patients points to greater trochanter.

Increased signal in bursa due to inflammation on T2 images.

Hip locking, instability and catching sensation.

MRI shows cartilage defects and bone marrow lesions.

Joint space narrowing, osteophytes, subchondral sclerosis and subchondral cysts.

Flexion and external rotation deformity.

It may be associated with foot drop due to compression of the sciatic nerve.

$femoral neck vs intertrochanteric fracture$

May be associated with flexion, adduction and internal rotation deformity.Swelling may be present in the scrotal or perineal area.It is a medical emergency as there is a large amount of blood loss.Bone scan shows increased uptake of radioactivity in region of fracture.Useful for preoperative surgical planning for patients with complex, multifragmentary fractures.Accurate diagnosis of fracture pattern ans aids in classification.Neck of femur fracture must be differentiated from other causes of acute hip pain, restriction of movements, and deformity such as intertorchanteric hip fracture, osteoarthritis, avascular necrosis, septic arthritis, trochanteric bursitis, slipped capital femoral epiphysis and acute synovitis.Neck of femur fracture must be differentiated from other causes of acute hip pain, restriction of movements, and deformity such as intertorchanteric hip fracture, osteoarthritis, avascular necrosis, septic arthritis, trochanteric bursitis, slipped capital femoral epiphysis and acute synovitis.ĭifferentiating Neck of Femur Fracture from other Diseases

$Femoral neck vs intertrochanteric fracture$