Name: John Adrie Lasala

Address:Sitio pajo, Quezon City

Date Admitted: March 14 2004

Diagnosis: Fracture Cl Comp Olique Disp.M3 femur right

Age:6 years old

Birthday: November 12 2004

DIC: Dr.Viluan

Drugs: Paracetamol Liquid, ibuprofen

Chief complaint: Pain in hip and right leg

History: (Playing VS Garbage truck) The patient is playing in the street and the garbage truck hit
the child.

Laboratory Test:

component Range Normal range

Hemoglobin 124 127.183g/l

hematocrit 0.38 0.37.0.54g/l
Lecocyte 0.89 4.5-10
Segmenters 0.08 0.50-0.70
Lympocytes 0.03 0.20-0.40
Monocytes 0.12 0.00-0.07
Platelet Count 415 150-400
Prothrombin Time 13.9 11-15
Blood Type AB
 Introduction
The femur is one of the largest, and strongest bones in the body. The femur is the thigh bone--it extends from the hip joint
down to the knee joint. Because the femur is such a strong bone, it can take tremendous force to cause a femur fracture.

Femoral neck fractures involve the narrow neck between the round head of the femur and the shaft. This fracture often disrupts

the blood supply to the head of the femur.

. The vasculature to the femoral head is easily disturbed during fractures or from swelling inside the joint capsule. This can lead to

strangulation of the blood supply to the femoral head and death of the bone and cartilage.

Etiology: In medical Latin its genitive is always femoris, but in classical Latin its genitive is often feminis, and should not be

confused with case forms of femina, which means "woman".

Symptoms of Fractured femur

The list of signs and symptoms mentioned in various sources for Fractured femur includes the 12 symptoms listed below:

 Thigh pain

 Thigh deformity

 Thigh swelling

 Thigh shortening

 Unable to weight bear on hip

 Inability to move leg

 Inability to move hip

 Open wound

 Bleeding

Treatment

 Cast/BST
 Splint
  Surgery - in severe fractures.
 Pain relief medications
Nursing Management
 Explain the use of anti-inflammatory drugs, ROM exercises, and assistive devices.
▪ Discuss lifestyle changes that should be made.
▪ Teach appropriate positioning to enhance blood flow and venous return
▪ Discuss the need for physical therapy.

Pathophysiology
 A femoral neck fracture occurs just below the ball of the ball-and-socket hip joint; this region is called the
femoral neck. When a femoral neck fracture occurs, the ball is disconnected from the rest of the thigh
bone (the femur). The important issue with femoral neck fractures is that the blood supply to the fractured
portion of bone is often disrupted at the time of injury. Because blood flow is diminished, these fractures
are at high risk of not healing, especially when the fracture is badly displaced. Due to the problem blood
supply with femoral neck fractures, many will be treated by a partial hip replacement. 

Anatomy and physiology. In human anatomy, the femur is the longest and largest bone in the
body. The average adult male femur is 48 centimeters (18.9 in) in length and 2.84 cm (1.12 in) in
diameter at the mid-shaft, and has the ability to support up to 30 times the weight of an adult. [1] The femur
forms part of the hip joint (at the acetabulum) and part of the knee joint, above which it is located. There
are four eminences, or protuberances, in the human femur: the head, the greater trochanter, the lesser
trochanter, and the lower extremity. They appear at various times from just before birth to about age 14.
Initially, they are joined to the main body of the femur withcartilage, which gradually
becomes ossified until the protuberances become an integral part of the femur bone, usually in early
adulthood.

The shaft of femur is cylindrical with a rough line on its posterior surface (linea aspera).

The intercondylar fossa is present between the condyles at the distal end of the femur. In addition to the
intercondylar eminence on the tibial plateau, there is both an anterior and posterior intercondylar fossa
(area), the sites of anterior cruciate and posterior cruciate ligament attachment, respectively.