Midshaft femur fracture definition
Femoral shaft fractures are normally treated operatively, using intramedullary nailing. They should only be considered for nonoperative fracture treatment if there areHow can the answer be improved? midshaft femur fracture definition
HealthTap: Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Deberardino on midshaft fibula fracture: Used. If the fracture is felt to be potentially unstable a cast may be more likley selected if it is felt that the full time presence of that cast vs. The tendency to remove a splint make a difference. The issue with spiral fractures is to check rotation by genty making a fist
Midshaft femur fracture definition free
Comparison of Right and Left Long Bone Measurements (in millimeters) Measurement Left Right Humerus: Maximum length 290 308 Humerus: Maximum diameter at midshaft 17 21 Humerus: Minimum diameter at midshaft 15 16 Humerus: Epicondylar breadth 57 59 Femur: AP subtrochanteric diameter 22 28 Femur: ML subtrochanteric diameter 20 27 Tibia: Maximum diameter at nutrient foramen 29 35
Fractures elsewhere in the femur or acetabulum, including femoral neck fractures, should be suspected and investigated. Two to six percent of femoral shaft fractures also have femoral neck fractures. The initial evaluation of a trauma patient with a femur fracture should include radiographs of the chest, AP pelvis, hip, and knee.
The long, straight part of the femur (thighbone) is called the femoral shaft. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. The femur is the longest and strongest bone in the body, and it takes a great deal of force to break it.
Indications for cast bracing include open fracture, distal third fractures, and comminuted midshaft fractures of the femur. Proximal, simple transverse, or oblique fractures are less amendable to cast bracing due to high stress concentration and a propensity to angulate.
(OBQ11. 91) A 25yearold male sustained a closed midshaft femur fracture following a motor vehicle collision. He is taken to the operating room for supine intramedullary nail fixation of the fracture. Figure A is a lateral fluoroscopic view of the distal femur taken just prior to distal interlocking screw placement.
The annual incidence of midshaft femur fractures is approximately 10 per 100, 000 personyears. The incidence peaks among the young, decreasing after age 20, and then again in the elderly. A marked increase occurs in those over age 75 years.
A femoral shaft fracture is a severe injury that usually occurs as a result of a highspeed car collision or a fall from a great height. The treatment almost always requires surgery. The most common procedure involves the insertion of a metal pole (known as an intramedullary rod ) into the center of the thigh bone.
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