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Hip fracture
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Hip fracture

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Synopsis

Injury to hip caused by a fall, traumatic force, or sports injury. Characterized by radiating pain in the hip and buttocks. Leg displacement and inability to bear weight may accompany a displaced fracture. Stress fractures may be painful during weight-bearing activity. Older persons who have fallen and can't get up may arrive for emergency treatment following hours of immobility and may experience complications due to delayed intervention.

Management of hip fracture requires immediate (usually surgical) intervention, preferably involving a multidisciplinary team. Surgical procedures include hemiarthroplasty, hip replacement, open reduction, and fixation. Pain management is a priority (resources for opioid prescribing guidelines, as well as nonopioid alternatives, can be found here). Complications following hip surgery include periprosthetic fracture, dislocation, hardware failure, infection, avascular necrosis, and infrequently, nerve entrapment. Postsurgical risks include pneumonia, pressure ulcers, and risk of repeated injury. Loss of mobility and higher morbidity and mortality tends to impact the elderly population with greater frequency.

Codes

ICD10CM:
M84.359A – Stress fracture, hip, unspecified, initial encounter for fracture
M84.459A – Pathological fracture, hip, unspecified, initial encounter for fracture

SNOMEDCT:
263088001 – Fracture dislocation of hip joint
700097003 – Fracture of bone of hip region

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Last Updated: 11/14/2018
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Hip fracture
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Hip fracture : Groin pain, Hip pain, Inability to bear weight, Buttock pain
Copyright © 2019 VisualDx®. All rights reserved.