# X-ray shows ______ fracture of the hip requiring immediate surgical fixation.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168367  
> language: ko  
> subject: Injury, poisoning and certain other consequences of external causes

## 문제

X-ray shows ______ fracture of the hip requiring immediate surgical fixation.

Chicago Med Season 3 Episode 8

## 보기

1. intertrochanteric **✔ 정답**
2. subcapital
3. basicervical
4. transcervical
5. subtrochanteric

**정답: 1**

## 해설

Intertrochanteric' hip fractures typically occur in elderly patients and require surgical stabilization.

## 임상 시나리오

Hip Fractures Classification:

1. Intracapsular Fractures:
- Subcapital fracture
- Transcervical fracture

2. Extracapsular Fractures:
- Intertrochanteric fracture
- Subtrochanteric fracture
- Basicervical fracture

Treatment Options:
- Internal fixation
- Dynamic hip screw (DHS)
- Intramedullary nailing
- Hemiarthroplasty
- Total hip replacement

Risk Factors:
- Advanced age
- Osteoporosis
- Female gender
- Previous falls
- Vitamin D deficiency

Complications:
- Avascular necrosis
- Nonunion
- Malunion
- Deep vein thrombosis
- Post-operative infection

## 핵심 개념

- **intertrochanteric** — A fracture that occurs between the greater and lesser trochanters of the proximal femur, commonly seen in elderly patients due to osteoporosis
- **subcapital** — A fracture occurring just below the head of the femur, within the capsule of the hip joint
- **basicervical** — A fracture at the base of the femoral neck, at its junction with the intertrochanteric region
- **transcervical** — A fracture through the mid-portion of the femoral neck, between the head and base of the neck
- **subtrochanteric** — A fracture occurring below the lesser trochanter of the femur, in the proximal femoral shaft

## 같은 주제 문제

- [X-ray reveals a ______ fracture of the left femur with significant displacement.](https://mymerci.kr/pages/nclex_q.php?qn_id=168336)
- [The chest tube has significant ______ drainage, suggesting hemothorax.](https://mymerci.kr/pages/nclex_q.php?qn_id=168346)
- [MRI shows complete ______ tear of the anterior cruciate ligament.](https://mymerci.kr/pages/nclex_q.php?qn_id=168350)

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