Subtrochanteric Fracture

Mechanism Clinical Findings Concomitant Injuries ED Management Disposition and Follow-Up Complications
Similar to intertrochanteric; 15% of hip fractures Falls; high-energy trauma; may also be pathologic Severe pain; ecchymosis; limb shortened, abducted, and externally rotated Vascular injuries, anemia/hypovolemic shock from fracture itself or other traumatic injuries Orthopedic consultation; Hare or Sager splint Admit for ORIF DVT and/or pulmonary embolism; infection; malunion (shortened limb); nonunion