Trochanteric fractures – anatomy and classification

Czech version

Authors: J. Bartoníček ^1,2; R. Bartoška ³
Authors‘ workplace: Anatomický ústav 1. LF UK Praha, přednosta: Prof. MUDr. K. Smetana ml., DrSc. ¹; Klinika traumatologie pohybového aparátu 1. LF UK a ÚVN Praha, Oddělení ortopedie a traumatologie ÚVN Praha, přednosta: Prof. MUDr. J. Bartoníček, DrSc. ²; Ortopedicko-traumatologická klinika 3. LF UK Praha, přednosta: Prof. MUDr. M. Krbec, CSc. ³
Published in: Rozhl. Chir., 2013, roč. 92, č. 10, s. 581-588.
Category: Various Specialization

Overview

Classification of trochanteric fractures remains an unresolved issue. While the basic division into pertrochanteric and intertrochanteric fractures is valid, it is necessary to re-assess the existence of individual subtypes included in AO classification. The same applies to the concept of instability of trochanteric fractures. In this respect it is necessary to focus more on the lateral trochanteric wall and primarily on the effect of medial displacement of the femoral shaft in fractures treated by DHS.

Key words:
trochanteric fractures – anatomy – classification

Sources

1. Bartoníček J, Heřt J. Základy klinické anatomie pohybového aparátu. Praha, Maxdorf 2004.

2. Stamatios A, Papadakis SA, Shepherd L, Babourda EC, Papadakis S. Piriform and trochanteric fossae. A drawing mismatch or a terminology error? A review 2005;27:223–226.

3. Ward FO. Outlines of human osteology. London, Renshaw 1838:299–321.

4. Bartoníček J. Tajemství Adamsova oblouku. Ortopedie 2011;5:143–146.

5. Merkel F. Betrachtungen über das Os femoris. Arch Pathol Anat (Virchow’s Arch) 1874;59:237–256.

6. Newell RLM. The calcar femorale: A tale of historical neglect. Clin Anat 1997;10:27–33.

7. Evans EM. The treatment of trochanteric fractures of the femur. J Bone Joint Surg 1949;31–B:190–203.

8. Müller ME, Nazarian S, Koch P, Schatzker J. Comprehensive classification of fractures of the long bones. Berlin, Springer 1990.

9. Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the hip. J Bone Joint Surg 1967;49–A:440–450.

10. Bartoníček J, Šprindrich J, Frič V, Skála-Rosenbaum J. Diagnostika okultních pertrochanterických zlomenin proximálního femuru magnetickou rezonancí. Rozhl Chir 2007;86:379–383.

11. Palm H, Jacobsen S, Sonne-Holm S, Gebuhr P. Integrity of the lateral femoral wall intertrochanteric hip fractures: An important predictor of a reoperation. J Bone Joint Surg 2007;89–A:470–475.

12. Čech O, Sosna A. Principles of the surgical treatment of subtrochanteric fractures. Orthop Clin North Am 1974;5:651–662.

13. Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg 1978;60–A:300–306.

14. Waddell JP. Subtrochanteric fractures of the femur: A review of 130 patients. J Trauma 1979;19:582–592.

15. Fractured and dislocation compendium. Femur. J Orthop Trauma 1996;10 Suppl:31–35.

16. Kyle RS, Ellis TJ, Templeman DC. Surgical treatment of intertrochanteric hip fractures with associated femoral neck fractures using sliding hip screw. J Orthop Trauma 2005;19:1–4.

17. Bartoníček J. Komplikationen der intertrochantären Frakturen. OP-Journal 2008;24:214–215.