The Orthobullets Podcast Foundations⎪Trauma⎪ Femoral Shaft Fractures
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Feb 19, 2025 Dive into the world of femoral shaft fractures, exploring their high-energy causes and the serious injuries they can entail. Learn key diagnostic techniques and the anatomy of the femur. Discover various treatment strategies, from conservative care to surgical options, illustrated with real clinical scenarios. This engaging discussion provides essential insights for frontline MSK providers, helping them navigate the complexities of trauma care and fracture management.
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Femoral Shaft Fractures Overview
- Femoral shaft fractures are high-energy injuries often linked to life-threatening issues and other fractures.
- Diagnosis involves X-rays of the femur and hip, and treatment typically uses intramedullary nailing for high union rates.
Epidemiology and Mechanism
- Femoral shaft fractures have an annual incidence of 37.1 per 100,000 people.
- High-energy trauma like car accidents is common in younger patients, while falls cause them in the elderly.
Fracture Patterns and Associated Conditions
- Femoral shaft fractures present in various patterns, including transverse, spiral, oblique, segmental, and comminuted.
- A common associated injury is an ipsilateral femoral neck fracture.