Trauma — MCQs

Q: A 70-year-old man presents with a hip fracture after a fall. What type of fracture is most common in this scenario?

Femoral neck fracture. ***Femoral neck fracture*** - **Femoral neck fractures** are exceedingly common in elderly patients, particularly women, after low-energy trauma such as a fall. - This fracture type is due to the **osteoporotic weakening** of the bone in this region, which bears significant weight. *Intertrochanteric fracture* - **Intertrochanteric fractures** occur between the greater and lesser trochanters and are also common in the elderly, but they tend to be extracapsular and have a better vascular supply. - While common, they typically involve higher energy trauma or significant twisting forces compared to the low-energy falls associated with femoral neck fractures in the elderly. *Subtrochanteric fracture* - **Subtrochanteric fractures** are located below the lesser trochanter. While they can occur in older patients, they are less common than femoral neck or intertrochanteric fractures after a simple fall. - These fractures often result from **high-energy trauma** in younger individuals or can be associated with certain medications like bisphosphonates. *Femoral head fracture* - **Femoral head fractures** are rare and typically occur in younger patients from high-energy mechanisms, such as a **dashboard injury** in a car accident, often associated with a hip dislocation. - The patient's presentation of an elderly person with a fall makes a femoral head fracture highly unlikely as the primary injury.

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Principles of Fracture Management

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Upper Limb Fractures

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Lower Limb Fractures

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Spinal Trauma

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Pelvic and Acetabular Fractures

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Open Fractures

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Fractures in Children

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Fracture Complications

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Nonunion and Malunion

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Polytrauma Management

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Joint Dislocations

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Soft Tissue Injuries

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Trauma — MCQs

Trauma — MCQs

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