Intertrochanteric Fracture

Mechanism Clinical Findings Concomitant Injuries ED Management Disposition and Follow-Up Complications
Common in older patients with osteoporosis; rare in younger patients Falls; high-energy trauma Severe pain; swelling; limb shortened and externally rotated Anemia from blood loss into thigh; concomitant traumatic injuries Orthopedic consultation Admit for eventual ORIF;
May need preoperative testing and clearance by PCP or hospitalist
DVT and/or pulmonary embolism; infection