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. Physical examination reveals right lower extremity shortening and external rotation deformity. No distal neurovascular deficits noted.
Clinical Examination Findings
Right hip inspection shows ecchymosis and localized swelling over the greater trochanteric region. Palpation elicits severe tenderness at the right hip. Range of motion is severely limited and guarded due to pain. Neurovascular status: dorsalis pedis and posterior tibial pulses palpable (2+), capillary refill <2 seconds, intact sensation to light touch in all dermatomes.
Treatment Protocol
Admit for surgical stabilization. Plan: Open Reduction Internal Fixation (ORIF) with cephalomedullary nail. Pre-operative optimization including DVT prophylaxis, pain management, and medical clearance. NPO status initiated.