고관절 골절(Hip fractures)


목차

분류

Hip fracture는 hip capsule을 기준으로 해부학적으로  intracapsular hip fracture와 extracapsular hip fracture로 분류할 수 있습니다.

  1. intracapsular hip fracture: femoral neck
  2. extracapsular hip fracture:  intertrochanteric or subtrochanteric

 


 

진단

영상검사

단순 X선

이미지

이미지

Hip AP view 

nondisplaced femoral-neck fracture

Hip AP view 

Displaced femoral neck fracture, Lt. hip: Garden stage 4

 이미지

이미지

Hip AP view

intertrochanteric fracture, Rt. Hip

Hip AP view

subtrochanteric fracture, Lt. hip: AO/OTA) type 32-B1

 

 


평가 및 처치

Recommended Management of Hip Fracture, Depending on Location of Fracture and Whether the Fracture Is Displaced

 

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참고자료

  • Arlachov Y, Ibrahem Adam R. Acute hip pain: mimics of a femoral neck fracture. Clin Radiol 2018;73(9):773–81.
  • Bhandari M, Swiontkowski M. Management of Acute Hip Fracture. N Engl J Med 2017;377(21):2053–62.
  • Wendt K, Heim D, Josten C, et al. Recommendations on hip fractures. Eur J Trauma Emerg Surg 2016;42(4):425–31.
  • Fernandez MA, Griffin XL, Costa ML. Management of hip fracture. Br Med Bull 2015;115(1):165–72.
  • Ha DH. Imaging of Hip Joint. Clinical Pain 2013;12:8-15
  • Sheehan SE, Shyu JY, Weaver MJ, Sodickson AD, Khurana B. Proximal Femoral Fractures: What the Orthopedic Surgeon Wants to Know. RadioGraphics 2015;35(5):1563–84.
  • Kirby MW, Spritzer C. Radiographic Detection of Hip and Pelvic Fractures in the Emergency Department. American Journal of Roentgenology 2010;194(4):1054–60.
  • Park K-C, Kim H-S. Efficacy of Percutaneous Cerclage Wiring in Intramedullary Nailing of Subtrochanteric Femur Fracture - Technical Note -. J Korean Fract Soc 2013;26(3):212.
  • Yeo I, Lim S-J. Current Treatment Strategy for Young Adult Femur Neck Fractures. Journal of the Korean Orthopaedic Association 2015;50(3):178–91.
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