Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe right hip pain following a mechanical fall. Patient is unable to bear weight on the right lower extremity. Pain is constant, exacerbated by movement, and localized to the right groin and hip region. No history of prior hip surgery or chronic hip pain.
Clinical Examination Findings
Physical examination of the right lower extremity reveals significant shortening and external rotation of the hip. Tenderness to palpation noted over the right femoral triangle. Range of motion is severely limited and guarded due to pain. Neurovascular status is intact with palpable distal pulses and preserved sensation in the femoral, obturator, and sciatic nerve distributions.
Treatment Protocol
Diagnosis of displaced intracapsular femoral neck fracture (S72.011A) confirmed via imaging. Patient placed on strict non-weight bearing status. Analgesia initiated. Surgical consultation for urgent internal fixation or hemiarthroplasty requested. DVT prophylaxis initiated per protocol.