Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe left hip pain following a mechanical fall from standing height. Patient is unable to bear weight on the left lower extremity. Reports associated hip deformity and localized tenderness. No history of loss of consciousness or neurological deficits.
Clinical Examination Findings
Left lower extremity reveals external rotation and shortening. Significant tenderness to palpation over the greater trochanteric region. Pain elicited with passive range of motion of the left hip. Neurovascular status intact: distal pulses (DP/PT) palpable, capillary refill < 2 seconds, sensation intact to light touch in all dermatomes, and motor function preserved in distal muscle groups.
Treatment Protocol
Immediate immobilization of the left lower extremity. Orthopedic consultation for surgical stabilization, typically via intramedullary nailing or sliding hip screw fixation. Initiate DVT prophylaxis, pain management via multimodal analgesia, and preoperative optimization of comorbidities. NPO status for urgent surgical intervention.