Crisis intertrochanterica, also known as an intertrochanteric fracture, refers to a specific type of fracture occurring at a particular region of the femur bone. This area is located between the greater trochanter and the lesser trochanter, which are two prominent bony projections in the upper thigh bone, known as the femur. Intertrochanteric fractures are commonly found in older individuals, particularly those with osteoporosis, although they can occur at any age due to high-energy trauma or pathological conditions.
This type of fracture is often caused by a direct blow or forceful impact to the hip area, leading to the fracture line crossing the region between the greater and lesser trochanters. Intertrochanteric fractures are characterized by the displacement of the fractured bone fragments, which can be further classified as stable or unstable depending on the degree of disruption to surrounding soft tissues and the integrity of the fracture line.
Symptoms of crisis intertrochanterica may include severe pain, swelling, bruising, deformity, and the inability to bear weight on the affected leg. Diagnosis is typically confirmed through physical examination, X-rays, and sometimes further imaging studies such as CT scans or MRI.
Treatment options for crisis intertrochanterica include surgical intervention, often requiring the use of implants such as screws, plates, or rods to stabilize and align the fractured bones. The choice of treatment depends on various factors like the patient's age, overall health, fracture pattern, and associated complications. Physical therapy and rehabilitation are crucial components of the recovery process to restore mobility, strength, and functionality of the affected hip joint and leg.
