Intertrochanteric Fractures

Intertrochanteric Fracture Physical Therapy

The following are some facts about intertrochanteric fractures:

There are over 20 types of intertrochanteric fractures.

Most intertrochanteric fractures heal without any problems. However, there are cases where surgery is required to repair the fracture.

The most common type of intertrochanteric fracture is a medial tibial plateau (MTP) fracture. Other types include lateral tibial plateau (LTP), posterior tibial plateau (PTP), anterior tibial plateau (ATP), and obturator internus (OI).

Injuries to the MTP or LTP are often caused by falling down stairs. These injuries usually heal without complications. They are not considered as dangerous as other types of intertrochanteric fractures such as those involving the PTP, ATP, OI, or obturator internus.

Fractures in the posterior tibial plateau (PT) are commonly seen during sports activities like football and basketball.

Although rare, anterior tibial plate fractures are usually caused by explosive twisting injuries or direct blows to the front of the shin.

OI is a rare intertrochanteric fracture that is caused by twisting or pivoting motions. This type of injury occurs in older people who experience a fall with the leg in a fixed position and often leads to complications such as joint infection or nonunion.

A peroneal plate tibial fracture involves the small bone that is located on the outside of the lower leg. This injury typically occurs after a direct blow to the front of your lower leg or from a fall on an outstretched ankle.

An intertrochanteric stress fracture is a small crack in the bone that develops over time and does not involve a direct hit. This type of injury is more common in endurance runners and military recruits.

Injury to the intertrochanteric bone can be quite serious, but it can be treated with rest, medication, and physical therapy.

The intertrochanteric bone is one of three bones located in the upper portion of the femur. It is a long, thin bone that runs down the middle of the thighbone.

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Peripheral Arterial Disease (PAD) is a narrowing of the arteries that can lead to critical limb ischemia (loss of blood flow) and even amputation. This condition most often affects the legs, but it can also affect the arms.

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An ankle sprain is an injury in which the ligaments in your ankle are stretched or torn. This is quite common and typically happens when you make a sudden pivot or turn on wet ground.

Bone fractures can be painful and slow to heal. It is important that you follow your doctor’s advice in order to get your bones back to their normal strength and size as soon as possible.

Surgical treatment of a broken hip is necessary in many cases. The type of surgery that you need depends on the type of hip fracture you have.

When you have a broken hip or osteoporosis, it can be difficult to get good pain relief. If your doctor does not think that more traditional pain relievers will help, you may want to consider other pain relief options.

Injuries involving the bone typically cause significant pain and swelling around the area. This can make it difficult to walk or stand, and the injured area often looks deformed.

A bone contusion, also known as a bone bruise, is a condition that occurs when a bone is hit hard enough to cause a bleeding injury to the soft tissue around it, but not the actual bone.

Ruptured or torn cartilage in the knee can be very painful and make it difficult, if not impossible, to walk without a limp. There are a number of different types of cartilage in the knee.

A dislocated shoulder occurs when your arm is pulled out of the socket. When this happens, your arm may be halfway out or all the way out.

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An elbow contusion is a bleeding injury to the soft tissue around your elbow. This can be very painful and make it difficult to bend your elbow or grip things with your hand.

If you suffer a bone fracture, it is necessary that you get medical treatment right away. Leaving the bone fragments unattended can lead to serious complications.

Hip fractures are one of the most common types of bone fractures. They can occur in men and women of all ages, but as people get older, these types of injuries become more common.

If your ankle sprain is a severe one, you may have damaged some of the soft tissue around your ankle. This can cause severe swelling, bruising and a lot of pain.

An ankle sprain occurs when you roll or twist your foot and ankle too far. This typically causes stretching or tearing of the ligaments around the joint.

Torn cartilage in the knee can make it very difficult to walk or even bend your leg. There are a number of different types of cartilage in your knee, and they all can be damaged by arthritis or traumatic injury.

A shoulder dislocation occurs when the head of your arm bone pops out of the socket. This is not a common injury and typically requires someone to pull or twist your arm in such a way that it causes the ball in your arm socket to pop out.

Bursitis is an inflammation and/or infection of one or more of the small sacs of fluid and cartilage that reduce friction in your hip joints.

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What is patellofemor pain syndrome?

Patellofemor pain syndrome is a condition that causes knee pain. It is also known as trochanteric pain syndrome or trochanteric bursitis. It involves the iliotibial band, which is a thick band of tissue that runs down the outer side of your leg from your hip to your knee. Pain typically occurs over the bony part of your hip called the greater trochanter.

What is a pterygium?

A pterygium is a triangular growth that develops on the surface of your eye. It develops when the conjunctiva, which is one of the layers of tissue that cover the eye, starts growing abnormally. Typically, pterygia occur on the side of the eye facing the sun and are more common in fair-skinned people. Pterygia are more common in men than women, and they typically develop later in life.

What is an ingrown hair?

Ingrown hairs develop when the tip of the hair grows back into the skin rather than growing outward. This typically results in a small, painful lump below the skin’s surface. It can become red, swollen and infected and cause itching or burning. The area around an ingrown hair often becomes inflamed and darkened.

What is a stress fracture?

A stress fracture is a small crack in the bone caused by excessive stress on the bone, typically resulting from repeated weight bearing. The most common cause of a stress fracture is running or jumping sports that involve a lot of running or jumping. Other activities that may lead to a stress fracture include dancing, military training and jobs that require a lot of heavy lifting.

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome is a condition caused by pressure on the sciatic nerve, which runs through a narrow tunnel in your lower spine. This pressure may result in pain, weakness, numbness and/or a loss of feeling in the skin of your foot and part of your leg.

What is piriformis syndrome?

Piriformis syndrome is a condition that causes pain and numbness in the hip and buttock area. These symptoms are caused by the sciatic nerve being compressed as it passes through the piriformis muscle in your hip. This compression can cause radiating pain down the back of your leg.

Piriformis syndrome causes pain in the buttock and hip area. It is more common in women than men and typically occurs after age 30. It may also be triggered by injury or trauma to the area, or it may begin following an increase in exercise or physical activity.

What are signs and symptoms of a broken hip?

The most common signs of a broken hip include: — Severe pain and swelling in the hip and thigh area. — Sudden inability to stand up straight or take more than a few steps. — Fracture (break) of the hip bone.

This is a condition that occurs when one of the long bones in your arm, such as the humerus or radius, develops a tiny split or crack along its length.

What is a chondromalacia patella?

The kneecap (patella) normally glides in a groove in the bone of the knee joint. Under normal circumstances, the kneecap and the groove are smooth, allowing the patella to move back and forth with ease. Injuries to the groove can result in bone frac­tures, but they also can cause the patella to lose its smooth gliding action.

Sources & references used in this article:

Analysis of six hundred and twenty-two intertrochanteric hip fractures by RF Kyle, RB Gustilo, RF Premer – Orthopedic Trauma …, 2010 – thieme-connect.com

Unstable intertrochanteric fractures of the hip by JH DIMON III, JC Hughston – JBJS, 1967 – Citeseer

Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures by KC Chan, GS Gill – Clinical Orthopaedics and Related Research®, 2000 – journals.lww.com

Primary bipolar hemiprosthesis for unstable intertrochanteric fractures by O Rodop, A Kiral, H Kaplan, I Akmaz – International orthopaedics, 2002 – Springer

Stable fixation of intertrochanteric fractures: A biomechanical evaluation by H KAUFER, LS MATTHEWS, D SONSTEGARD – JBJS, 1974 – Citeseer

Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures by MR Baumgaertner, SL Curtin… – … and Related Research®, 1998 – journals.lww.com

Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. by GL Wolfgang, MH Bryant, JP O’Neill – Clinical orthopaedics and …, 1982 – europepmc.org

Intertrochanteric femoral fractures. Mechanical failure after internal fixation by TR Davis, JL Sher, A Horsman… – The Journal of …, 1990 – online.boneandjoint.org.uk

Reverse obliquity fractures of the intertrochanteric region of the femur by GJ Haidukewych, TA Israel, DJ Berry – JBJS, 2001 – journals.lww.com