S72.111 Displaced fracture of greater trochanter of right femur

Name of the Condition

• Displaced fracture of greater trochanter of right femur

Summary

A displaced fracture of the greater trochanter of the right femur is a break in the bony prominence on the upper part of the right thigh bone (femur) near the hip joint, where the bone fragment has moved out of its normal position. This type of fracture typically results from trauma or weakened bone structure and may involve significant displacement of the bone fragment.

Causes

Displaced fractures of the greater trochanter commonly result from direct trauma, such as falls or high-impact injuries. They can also occur in individuals with weakened bones due to conditions like osteoporosis, where even minor stress may cause a fracture with displacement.

Risk Factors

• Advanced age, particularly in postmenopausal women with osteoporosis.
• Conditions that weaken bones, such as osteoporosis, cancer, or metabolic disorders.
• History of previous fractures or falls.
• Sedentary lifestyle or limited mobility.

Symptoms

• Severe hip or groin pain, often worsened by movement.
• Inability to bear weight on the affected leg.
• Swelling, bruising, or deformity around the hip.
• Leg shortening or external rotation.

Diagnosis

Physical examination to assess pain, range of motion, and deformity. Imaging studies, including X-rays or CT scans, to confirm the fracture and evaluate displacement.

Treatment Options

• Surgical intervention, such as internal fixation with screws or plates, to stabilize the fracture.
• Non-surgical management with traction or bed rest in select cases, depending on fracture stability and patient factors.

Prognosis and Follow-Up

Recovery depends on fracture severity, treatment, and patient health. Most patients regain function with appropriate care, but follow-up imaging and physical therapy are often needed to monitor healing and restore mobility.

Complications

• Nonunion or malunion of the fracture.
• Infection, particularly with surgical intervention.
• Avascular necrosis of the femoral head.
• Chronic pain or reduced mobility.

Lifestyle & Prevention

• Maintain bone health through calcium and vitamin D intake.
• Engage in weight-bearing exercises to strengthen bones.
• Use assistive devices to prevent falls, especially in older adults.
• Address underlying conditions like osteoporosis to reduce fracture risk.

When to Seek Professional Help

Seek immediate medical attention for severe hip pain, inability to bear weight, or visible deformity after a fall or injury.

Tips for Medical Coders

Document the side (right), displacement, and specific anatomical location (greater trochanter) to support accurate coding. Include details on trauma mechanism, imaging findings, and treatment approach to clarify clinical context.