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Occult Fracture Propagation in Patients with Isolated Greater Trochanteric Fractures: Patterns and Management by Pamela J. Walsh; Mobeen Farooq; Daniel M. Walz is a Medicine article available to read on EtoBox.

What is Occult Fracture Propagation in Patients with Isolated Greater Trochanteric Fractures: Patterns and Management about?

## Objective: To demonstrate the degrees of occult intertrochanteric extension on mri in patients with a greater trochanteric fracture on radiography or computer tomography (ct) and whether these patients undergo conservative or surgical management with hardware. ## Materials and methods: Retrospective review was performed of 146 patients (104 females, 42 males, ages 33-102) who had follow-up mri after identification of a greater trochanteric fracture without intertrochanteric extension on radiography or ct. extent of intertrochanteric extension was recorded. subsequently, emr review was performed to see if patients underwent surgery. specific note was made of hardware type. analysis was performed to determine if there is a correlation with fracture type and surgical management as well as fracture type and age and gender. ## Results: Nineteen patients had horizontal greater trochanter fractures without intertrochanteric extension; none underwent surgery. seventeen patients had a vertical fracture along the lateral femoral cortex; one underwent surgery. thirty-three patients had a fracture with intertrochanteric extension less than 50% in the mid coronal plane; 21 underwent surgery.

Who reads Occult Fracture Propagation in Patients with Isolated Greater Trochanteric Fractures: Patterns and Management?

Author

Pamela J. Walsh; Mobeen Farooq; Daniel M. Walz

Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)