What is the basis of classification for intertrochanteric fractures?

What is the basis of classification for intertrochanteric fractures?

The Evans classification of intertrochanteric fractures is based on the location and direction of the fracture as well as the stability. However, the most important classification system for an intertrochanteric fracture is whether the fracture pattern is stable or unstable as this affects implant choice.

What is a intertrochanteric fracture?

Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. The intertrochanteric aspect of the femur is located between the greater and lesser trochanters and is composed of dense trabecular bone.

What are the three types of hip fractures?

There are three broad categories of hip fractures based on the location of the fracture: femoral neck fractures, intertrochanteric fractures, and subtrochanteric fractures. The femoral neck is the most common location for a hip fracture, accounting for 45% to 53% of hip fractures.

Are intertrochanteric fractures extracapsular?

An extracapsular fracture is a bone fracture near a joint but still located outside the joint capsule. Examples of extracapsular fractures are intertrochanteric and subtrochanteric hip fractures.

What are three intertrochanteric fractures?

Unstable intertrochanteric fracture. In a three-part fracture, the stability of the fracture is inversely proportional to the size of the lesser trochanteric fragment. Instability occurs when more than 50% of the calcar is affected, allowing the proximal fragment to collapse into a varus position and shorten.

How do you classify a hip fracture?

Classification of Hip Fractures

1. Type 1: undisplaced and incomplete fracture.
2. Type 2: undisplaced complete fracture.
3. Type 3: complete fracture but incompletely displaced.
4. Type 4: complete fracture and completely displaced.

What is intracapsular and extracapsular?

Hip fractures are classified according to their anatomical location as intracapsular, which involves the femoral head and neck, and extracapsular, which includes intertrochanteric, trochanteric, and subtrochanteric fractures.

What is the difference between intracapsular and extracapsular hip fracture?

a fracture outside the socket of the hip joint (extracapsular fracture) a fracture inside the socket of the hip joint (intracapsular fracture) – if it is stable and has not moved significantly (undisplaced)

What are the different types of hip fractures?

What Are the Different Types of Hip Fracture?

• Femoral neck fracture: A femoral neck fracture occurs one to two inches from the hip joint.
• Intertrochanteric hip fracture: An intertrochanteric hip fracture occurs three to four inches from the hip joint.

What type of fracture is a hip fracture?

Intertrochanteric and femoral neck fractures are the most common types of hip fracture. Femoral head fractures are extremely rare and are usually the result of a high-velocity event. The areas of the femur (thighbone). Most hip fractures occur in the femoral neck or intertrochanteric area.

How is intertrochanteric fracture diagnosed?

Your doctor will ask about your medical history and do a physical exam. Then, they’ll likely order X-rays or other imaging tests to diagnose an intertrochanteric fracture….The most common tests for diagnosis of an intertrochanteric fracture include:

1. physical exam and medical history.
2. X-rays.
3. MRI.
4. bone scans.

What is Gardner classification?

The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.

What is an extracapsular trochanteric fracture?

What is an intracapsular hip fracture?

Intracapsular hip fracture Hip fractures either involve the region of the femur which is enveloped by the ligamentous hip joint capsule (intracapsular), or that outside the capsule (extracapsular).

What is the most common type of hip fracture?

Intertrochanteric and femoral neck fractures are the most common types of hip fracture. Femoral head fractures are extremely rare and are usually the result of a high-velocity event. The areas of the femur (thighbone).

What is the most common hip fracture?

Femoral head. Intertrochanteric and femoral neck fractures are the most common types of hip fracture. Femoral head fractures are extremely rare and are usually the result of a high-velocity event. The areas of the femur (thighbone). Most hip fractures occur in the femoral neck or intertrochanteric area.