Have you ever been working a shift at 3 AM and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with their PCP in 1 week.” This is a reasonable approach, especially if you’re concerned there could be a fracture. But we can do better. Enter the “Can’t Miss” series: a series organized by body part that will help identify injuries that ideally should not be missed. This list is not meant to be a comprehensive review of each body part, but rather to highlight and improve your sensitivity for these potentially catastrophic injuries. We’ve already covered the adult elbow, wrist, shoulder, ankle/foot, and knee. Now: the hip.
- From the femoral head to generally 5 cm below the lesser trochanter in adults .
- Result in 300,000 hospital visits/year due to hip fractures .
- Hip fractures have significant morbidity and mortality in the elderly.
- One in five patients with hip fractures dies within one year .
- Surgical delay in hip fractures past 48 hours can double mortality [2,3].