What is the trochanter femur?
Trochanter: One of the bony prominences toward the near end of the thighbone (the femur). There are two trochanters: The greater trochanter – A powerful protrusion located at the proximal (near) and lateral (outside) part of the shaft of the femur.
What is a trochanter fracture?
Definition. Trochanteric fracture involves the proximal femur between the cervical region and the shaft. Subtrochanteric fracture, with a fracture line running from an area within 5 cm distal to the lesser trochanter, is usually also included in the definition [6].
How long does it take for a fractured trochanter to heal?
Most trochanteric fractures are self-limiting and can be treated without surgical intervention if the displacement is less than 1 cm. However, the patient must not bear weight on the affected leg for up to a month. Many patients may take up to 3 months to return to normal physical activity.
Can you walk with a greater trochanter fracture?
Patients with isolated greater trochanter fractures, confirmed by MRI, were restricted to bedrest for 1 month, with functional exercise allowed in bed. Two months later, they were able to walk without bearing any weight on the injured leg.
Where is the trochanter muscle?
The greater trochanter is situated on the proximal and lateral side of the femur, just distal to the hip joint and the neck of the femur. The tendons of the gluteus medius (GMed), gluteus minimus (GMin), gluteus maximus (GMax) and the tensor fascia lata (TFL) attach onto this bony outgrowth (apophysis).
How do you treat a greater trochanter fracture?
Fractures isolated to the greater trochanter region are rare. Recommended treatments for greater trochanteric fractures can include bedrest,13 taping,14 hip spica casting,15 and internal fixation. Recently, Omura employed only bed rest in a single patient, but no follow-up outcome was reported.
What is neck of femur fracture?
A fractured neck of femur (broken hip) is a serious injury, especially in older people. It is likely to be life changing and for some people life threatening. It occurs when the top part of the femur (leg bone) is broken, just below the ball and socket joint.
What is the key difference of clinical feature between femoral neck fracture and intertrochanteric fracture?
Additionally, intertrochanteric fracture patients were shown to have lower trabecular bone density than femoral neck fracture patients (10). Women with intertrochanteric fractures had lower vitamin D levels, poorer health and ambulation, and a higher mortality rate than women with femoral neck fractures (8).
What is the treatment for greater trochanter?
Greater tronchanteric pain syndrome can usually be treated with rest, ice, anti-inflammatories, and physical therapy. Localized steroid injections may also be given for short-term relief, and open or endoscopic surgery may be considered in recalcitrant cases.
Is hip bursitis serious?
While it isn’t common for the inflamed bursa in your hip to become infected, when it does happen, it’s called septic bursitis – and it can be dangerous. See a doctor right away if you have pain and redness at the hip along with fever, chills or nausea.