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. Denies numbness, tingling, or distal neurovascular deficits.
Clinical Examination Findings
Right lower extremity demonstrates characteristic shortening and external rotation. Significant tenderness to palpation over the greater trochanter and groin. Range of motion of the right hip is severely limited by pain. Distal neurovascular status is intact with palpable dorsalis pedis and posterior tibial pulses; capillary refill < 2 seconds.
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 internal fixation or hemiarthroplasty. Pain management via IV analgesics. DVT prophylaxis initiated per protocol.