Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right hip pain following a mechanical fall. Reports inability to bear weight on the right lower extremity. Pain is localized to the groin and lateral hip, exacerbated by movement. No history of prior hip surgery or trauma.
Clinical Examination Findings
Right lower extremity demonstrates external rotation and shortening. Significant tenderness to palpation over the greater trochanter and groin. Range of motion of the right hip is severely limited by pain. Neurovascular status: Distal pulses (DP/PT) are palpable and symmetric; capillary refill <2 seconds; sensation intact to light touch in all dermatomes.
Treatment Protocol
Immediate immobilization and NPO status initiated. Radiographic imaging (AP pelvis, AP/Lateral right hip) confirms displaced femoral neck fracture. Orthopedic surgery consultation requested for urgent surgical intervention (ORIF or hemiarthroplasty). Pain management initiated with IV analgesics.