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Introduction

The regions of the proximal lower limb include:

  • Gluteal region (posterior hip)

  • Femoral triangle (anterior hip)

  • Anterior, posterior and medial thigh compartments

  • Adductor canal

The clinician should be very familiar with lower limb anatomy as this constitutes a large proportion of all imaging and is often due to a greater force than the upper limb. Injuries of the lower limb affect mobility, which can have disastrous consequences for some patients.

Normal Images

Neck of Femur

Notes

Pain and unable to walk after a fall. Limb often externally rotated and shortened.

Report

Transcervical fracture of left femoral neck with displacement.

Treatment

Replace femoral head with prosthesis.

Notes

Pain and unable to walk after a fall. Limb may just be shortened.

Report

Displaced subcapital fracture (lateral view).

Treatment

Replace femoral head.

FIGURE 8-5

IMPACTED NECK OF FEMUR 1

Notes

Pain and unable to walk after a fall. Limb may just be shortened.

Report

Impacted subcapital fracture of right femoral neck.

Treatment

Trial of internal fixation as no displacement of fracture.

FIGURE 8-6

IMPACTED NECK OF FEMUR 2

Notes

Pain and unable to walk after a fall. Limb may just be shortened.

Report

Impacted subcapital fracture of right femoral neck.

Treatment

Trial of internal fixation as no displacement of fracture.

Notes

Pain and unable to walk after a fall. Limb may just be shortened.

Report

Impacted subcapital fracture of right femoral neck. Internally fixed with Knowles pins.

Treatment

Done.

FIGURE ...

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