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Hip
Ward’s Triangle
Proximal Femur: Images
AP
Internal rotation!
Lateral
Cross-table Lateral
Frog-leg Lateral
Proximal Femur: Images
Cross-table lateral view
* = ischial tuberosity
Proximal Femur:
Fracture Classification
1. Relationship to capsule
Intracapsular, extracapsular
2. Anatomic location
Neck, trochanteric, intertrochanteric,
subtrochanteric, shaft
3. Degree of displacement
Proximal Femur:
Approach to the film
1. Shenton’s Line
Femoral neck #
Dislocation
Lesser trochanter
Proximal Femur: Fractures
Femoral head fracture:
Usually 2° to dislocation
Pipkin classification
Femoral neck fracture:
Can be subtle (check lines, ‘S’)
Describe as nondisplaced (15-20%) vs displaced
Intertrochanteric fracture:
High energy or weak bone
Classify according to number of bone fragments
(e.g. two-part)
Displaced femoral neck fracture
Nondisplaced femoral neck #