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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Muscles that Move the Thigh01:20

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The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar...
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Bones of the Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Related Experiment Video

Updated: Sep 27, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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[Subtrochanteric fractures].

Thomas Gösling1

  • 1Klinik für Unfallchirurgie und Orthopädie, Städtisches Klinikum Braunschweig gGmbH, Holwedestr. 16, 38118, Braunschweig, Deutschland. t.goesling@klinikum-braunschweig.de.

Der Unfallchirurg
|April 8, 2022
PubMed
Summary
This summary is machine-generated.

Subtrochanteric fractures are distinct from other femur breaks, often affecting older adults. Early surgical stabilization using cephalomedullary nails is key for stability and managing complications.

Keywords:
FemurFractureGeriatricNonunionSubtrochanteric

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Subtrochanteric fractures are a unique injury pattern, distinct from proximal femoral and femoral shaft fractures.
  • These fractures predominantly occur in the geriatric population, often due to low-energy mechanisms, while younger patients typically sustain them from high-energy trauma.

Purpose of the Study:

  • To highlight the distinct characteristics of subtrochanteric fractures.
  • To emphasize the importance of early surgical stabilization and the role of damage control orthopedics.
  • To discuss the standard treatment and potential complications associated with these fractures.

Main Methods:

  • Review of current literature and clinical practice regarding subtrochanteric fracture management.
  • Analysis of patient demographics (geriatric vs. younger) and injury mechanisms.
  • Evaluation of surgical techniques, focusing on cephalomedullary nailing and the use of compression plates for complications.

Main Results:

  • Early surgical stabilization is the preferred treatment for subtrochanteric fractures.
  • Long cephalomedullary nails are the standard surgical intervention.
  • Geriatric patients prioritize weight-bearing stability, while younger patients require assessment for accompanying injuries.

Conclusions:

  • Subtrochanteric fractures necessitate specific management strategies due to their unique nature.
  • Prompt surgical intervention is crucial for optimal outcomes.
  • Complication rates are notable, and management strategies must address both primary fixation and secondary issues, potentially involving compression plates.