A trochanteric fracture of the femur is a break in the large bone of the thigh near the hip joint. This type of fracture is usually caused by a direct blow to the outer side of the thigh, such as from a fall or a motor vehicle accident.
The diagnosis of a trochanteric fracture of the femur is usually made by a physical examination, imaging tests such as X-rays or CT scans, and possibly an MRI or bone scan.
Differential diagnoses for a trochanteric fracture of the femur include other types of hip fractures, hip dislocation, and muscle strains or contusions.
Treatment of a trochanteric fracture of the femur depends on the type and severity of the fracture. Non-surgical treatments may include bed rest, a walker or cane, and physical therapy. Surgical treatments may include open reduction and internal fixation, prosthetic replacement, or a combination of the two.
The prognosis for a trochanteric fracture of the femur is generally good, but it will depend on the type and severity of the fracture. Most people make a full recovery with the proper treatment, but some may experience limited mobility or a decrease in strength in the affected leg.