Damage is usually by a direct blow. The {femur} is strongest bone in the body & does not usually break under {torsion} strains. {Fractures} of this bone are common in road traffic accidents & particularly involving motorcycles. They are often {compound fractures} & {comminuted fractures}. Fractures occur in mid-shaft, lower-end & at surgical neck the elderly.
The diagnosis is made by usual signs, but {shock} may be present. Loss of blood of 3 pints (1.3 litres) or more may occur at fracture site with considerable tissue damage. It is important to diagnose a fracture of neck of {femur} in the elderly.
DIAGNOSIS:
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pain over hip
swelling may be present
inability to bear weight
external rotation of foot - possibly most important sign
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#f thigh better
TREATMENT:
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call for medical assistance urgently
immobilize limb with long board splints & triangular bandages
if {shock} is present, maintain {airway}
cover any wound with non-stick dressing/clean cloth
