Author: Osita Chidozie Ogbonna / Editor: Thomas MacMahon / Reviewer: Ciaran Mackle / Codes: ELC1, ELC5, ELP3, ELP4, ELP5, SLO1, SLO4, TP6 / Published: 31/07/2023
A 64-year-old healthy woman was arranging boxes at home when she slipped and landed on her back. She has a history of bilateral hip arthroplasties and a previously repaired T1 fracture.
There were no visible external injuries and no loss of consciousness or vomiting following this fall. She has been mobilising since the incident with little or no pain.
On examination, there was mild generalised thoracic spine discomfort and tenderness over her left medial thigh but no neurological findings. A pre and post void bladder scan was within normal limits. EWS was 0. Blood tests were normal.
Module Content
Fractured Neck of Femur
The risk factors for a fractured NOF can simplistically be divided into risk factors for falls and risk factors for osteoporosis.
Falls
Falls can be significantly debilitating and distressing events for patients. The elderly form an increasing proportion of the general population, meaning falls are a common presentation to the ED.
Acute Lower Back Pain
Back pain is common: it is estimated that 60-80% of the population have back pain at some time during their life.
14 Comments
Thank you Osita for sharing this with us. Really interesting.
Useful in day to day ED work load.
New information for me
Thanks alot
common ED scenario
One of the common presentation.
Truly informative and enlightening. Thank you, Osita.
An excellent topic for A&E clinicians
common presentation on A&E
Very informative
Great session for a common ED presentation
fab session for common presentation
Well presented!
Useful reminder
Osteolysis is an imp contributor to the cause of fracture.
Interesting to learn that absence or mild pain does not rule out periprosthetic fracture