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 right groin and lateral hip, exacerbated by movement. No reported loss of consciousness, chest pain, or shortness of breath.
Clinical Examination Findings
Right lower extremity demonstrates characteristic external rotation and shortening. Significant tenderness to palpation over the right greater trochanter and groin. Range of motion of the right hip is severely limited by pain. Neurovascular status intact: distal pulses (dorsalis pedis/posterior tibial) palpable, capillary refill <2 seconds, sensation intact to light touch in all dermatomes.
Treatment Protocol
Immediate immobilization and NPO status initiated. Orthopedic surgery consultation requested for surgical stabilization (ORIF or hemiarthroplasty). Pain management via IV analgesics. Pre-operative imaging (AP pelvis, lateral hip radiographs) reviewed confirming displaced femoral neck fracture. DVT prophylaxis and intravenous fluids ordered.