最后审阅: 6 四月 2021
最后更新: 17 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 跌倒或创伤史
  • 受累的髋部、腹股沟或大腿疼痛
  • 无法负重或无法移动髋部
  • 腿缩短且外旋
  • 危险因素

危险因素

  • 骨质疏松症/骨质减少
  • 老年
  • 摔倒
  • 体重指数 (BMI) 较低
  • 女性
  • 高能量创伤

诊断性检查

首要检查

  • X线平片
  • 全血细胞计数
  • 尿素和电解质
  • 葡萄糖
  • 血型鉴定和不规则抗体筛查(Group and save
  • 凝血筛查
  • 心电图(ECG

治疗流程

撰稿人

ST6 in Trauma and Orthopaedics

Epsom and St Helier University Hospitals

Epsom

UK

利益声明

ZL declares that she has no competing interests.

Specialist Registrar

Norfolk and Norwich University Hospitals

Norwich

UK

利益声明

BG declares that he has no competing interests.

ST4 in Trauma and Orthopaedics

Croydon University Hospital

London

UK

利益声明

HK declares she has no competing interests.

BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work has been retained in parts of the content:

Bradley A. Petrisor MSc, MD, FRCSC

Associate Professor

McMaster University

Consultant Orthopedic Surgeon

Orthopedic Trauma Service

Hamilton Health Sciences

Ontario

Canada

Mohit Bhandari MD, PhD, FRCSC

Professor

McMaster University

Canada Research Chair in Musculoskeletal Trauma

Hamilton Health Sciences

Ontario

Canada

利益声明

BAP and MB declare that they have no competing interests.

同行评议者展开全部内容

Consultant Orthogeriatrician

University Hospital of Wales

Cardiff

UK

简介

AJ is clinical lead for the National Hip Fracture Database, Royal College of Physicians, London, UK.

利益声明

AJ has been a co-applicant or collaborator in successful applications for non-commercial grants from the NIHR Health Technology Assessment Programme, Physiotherapy Research Foundation, and Versus Arthritis.

Section Editor, BMJ Best Practice

利益声明

EQ declares that she has no competing interests.

Lead Section Editor, BMJ Best Practice

利益声明

RW declares that she has no competing interests.

Head of Research and Development, BMJ

利益声明

LD declares that she has no competing interests.

Comorbidities Editor, BMJ Best Practice

利益声明

JC declares that she has no competing interests.

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

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