Image, manage pain:

By vgreene, 22 January, 2015
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<sup>1</sup> <b>Stable</b>=nondisplaced fracture.<br><br>
<sup>2</sup> <b>Unstable</b>=displaced fracture.
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<sup>3</sup> Arthroplasty favored over hemiarthroplasty for higher functioning/ambulating pts, assuming experienced surgeon. Otherwise, hemiarthroplasty (uni- or bipolar) may be preferred.
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<sup>4</sup> Direct lateral approach also called anterolateral, transgluteal, or Modified Hardinge approach.
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Obtain initial x-ray: if negative but clinical concern persists, MRI [M]
Manage pain: regional analgesia by trained provider is best [S], via femoral nerve or fascia iliaca compartment block; avoid pre-op traction [M]
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Image, manage pain: