Which specialist consultations are beneficial to patients with hip fractures?

Updated: Jan 08, 2019
  • Author: Naveenpal S Bhatti, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

Consultations

Femoral neck fractures and intertrochanteric hip fractures occur most often in elderly populations, who generally have other medical diagnoses. The fracture may have been due to a medically related problem such as a syncopal episode, dehydration, overmedication, or vertigo. The cause of a fall must be explored, and consultation with an internal medicine specialist is obtained to help rule out medical reasons leading to a fall and to obtain medical clearance for treatment and timing for surgical intervention. The reason for surgical treatment of hip fractures is to allow early patient mobilization and, hopefully, avoid associated medical complications from inactivity.

Supplementation with high dose oral vitamin D (≥800 IU daily) may help prevent hip fractures and other nonvertebral fractures in persons ≥65 years of age. [12]

Consultation with a pediatric specialist is recommended for assistance in pediatric hip fractures. Complications of pediatric hip fractures include AVN, premature physeal closure, femoral shortening, coxa vara, short femoral neck, trochanteric arrest, and nonunion.


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