Albany Medical College Virtual Anatomy Lab

Lab 5 - Module 1 - Hip and Anterior Thigh - Osteology of the Hip and Thigh: Page 1 of 6

READINGS:

Gray's Anatomy for Students (Fourth Edition): Pages: 398-401, 418-422, 433-437, 481-486, 546-548


CASE REPORT:

A 72-year-old female who lives with her oldest son is found on the floor of her bedroom, unable to rise. She tells her son she slipped on the rug and fell to the floor. She complains of severe pain in her right hip and is unable to stand. An ambulance is called and she is taken to the hospital on a stretcher. On arrival she is given intravenous morphine and is immobilized. She has no significant past medical or surgical history and takes no medications.

EXAMINATION:

  • • Vital signs are stable with a BP of 139/80 mmHg and pulse of 89
  • • Right leg is shortened (as measured from ASIS to medial malleolus) and external rotated.
  • • The greater trochanter on the right side appears higher and more prominent than on the left.
  • • No numbness or paresthesias are detected.
  • • Extremities are warm and well perfused.
  • • All lower limb pulses are palpable and equal bilaterally.
  • • Anteroposterior radiograph reveals a subcapital intracapsular fracture.


  • hip fracture

    Can you identify the location of the fracture?