2.  H&P  PE
 78 yo WF fall at home.  VS: Afebrile. P 94, BP
States she was walking in 135/93, Pox 97% RA
her house when she lost  Gen: Elderly, thin,
her balance and fell appears to be in pain
landing on her left hip.  Ext: LLE hip is TTP and
She did not hit her head leg appears externally
and denies LOC, but c/o rotated and shortened
left hip pain

5.  Pain control
 Consider eval for medical causes of fall; ie MI,
dysrythmias, CVA
 Early ortho consult
 Operative management

6.  Femoral neck fractures can also be seen in high
velocity trauma in younger patient and less commonly
as stress fractures in athletes
 Hip fractures in the elderly are associated with high
mortality in the first year after the injury.
 Delay of operative repair greater than 48 hours is also
associated with increased mortality

8.  Davenport, M et al. “Hip Fracture in Emergency
Medicine”. Emedicine.com. 9/2010.
 Truong, H et al. “Femoral Neck Fracture imaging”.
Emedicine.com 5/2011
 Tininalli, J et al. “Emergency Medicine: A
Comprehensive Study Guide”. 6th ed. 2003
 Wheeless, C. “Fracutures of the Femoral Neck”.
Wheelessonline.com. 7/2010