Fracture of the lesser trochanter.

S. Giacomini, G. L. Di Gennaro, O. Donzelli

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Isolated fracture or detachment of the lesser trochanter is an infrequent occurrence. In most cases the event is part of a complex of fractures involving the femoral neck and the greater trochanter. Isolated fracture caused by direct trauma is rare because of the anatomical location of the lesser trochanter which is protected anteriorly and posteriorly by large muscular masses, superiorly by the head and the neck of the femur, laterally by the femur itself, and medially by the ilio- and ischio-public branches of the pelvis. Trauma is usually indirect, caused by sudden traction by the iliopsoas muscle on the femoral tendinous insertion. The highest frequency is observed in young patients who are still growing where there is an imbalance between muscular strength and resistance of the osteochondral plate of the tendinous insertion. Particularly affected are adolescent athletes of male sex aged from 13 to 17 years. Similar overloading of traction in an adult would probably produce only muscular stretching. Diagnosis is based on radiographic ascertainment, obtained with the thigh in extra-rotation, supported by rather typical clinical findings such as acute pain in the inguinal region and in Scarpa's triangle, limping, passive movement of the hip in all directions with pain in maximum extension and relief when seated. Nonsurgical treatment with the limb resting in flexion, further confirmed by the case presented in this study, still remains the treatment of choice in most cases, obtaining excellent functional results. The authors believe that it was of interest to report this clinical case because of the rareness of the pathology observed and because of the specific features of its etiology.

Original languageEnglish
Pages (from-to)255-258
Number of pages4
JournalLa Chirurgia degli organi di movimento
Volume87
Issue number4
Publication statusPublished - 2002

Fingerprint

Femur
Traction
Thigh
Femur Head
Femoral Neck Fractures
Groin
Femur Neck
Wounds and Injuries
Acute Pain
Pelvis
Athletes
Hip
Extremities
Pathology
Pain
Muscles
Therapeutics

Cite this

Giacomini, S., Di Gennaro, G. L., & Donzelli, O. (2002). Fracture of the lesser trochanter. La Chirurgia degli organi di movimento, 87(4), 255-258.

Fracture of the lesser trochanter. / Giacomini, S.; Di Gennaro, G. L.; Donzelli, O.

In: La Chirurgia degli organi di movimento, Vol. 87, No. 4, 2002, p. 255-258.

Research output: Contribution to journalArticle

Giacomini, S, Di Gennaro, GL & Donzelli, O 2002, 'Fracture of the lesser trochanter.', La Chirurgia degli organi di movimento, vol. 87, no. 4, pp. 255-258.
Giacomini S, Di Gennaro GL, Donzelli O. Fracture of the lesser trochanter. La Chirurgia degli organi di movimento. 2002;87(4):255-258.
Giacomini, S. ; Di Gennaro, G. L. ; Donzelli, O. / Fracture of the lesser trochanter. In: La Chirurgia degli organi di movimento. 2002 ; Vol. 87, No. 4. pp. 255-258.
@article{e508046dfffa413fa7dbc4f100c2b849,
title = "Fracture of the lesser trochanter.",
abstract = "Isolated fracture or detachment of the lesser trochanter is an infrequent occurrence. In most cases the event is part of a complex of fractures involving the femoral neck and the greater trochanter. Isolated fracture caused by direct trauma is rare because of the anatomical location of the lesser trochanter which is protected anteriorly and posteriorly by large muscular masses, superiorly by the head and the neck of the femur, laterally by the femur itself, and medially by the ilio- and ischio-public branches of the pelvis. Trauma is usually indirect, caused by sudden traction by the iliopsoas muscle on the femoral tendinous insertion. The highest frequency is observed in young patients who are still growing where there is an imbalance between muscular strength and resistance of the osteochondral plate of the tendinous insertion. Particularly affected are adolescent athletes of male sex aged from 13 to 17 years. Similar overloading of traction in an adult would probably produce only muscular stretching. Diagnosis is based on radiographic ascertainment, obtained with the thigh in extra-rotation, supported by rather typical clinical findings such as acute pain in the inguinal region and in Scarpa's triangle, limping, passive movement of the hip in all directions with pain in maximum extension and relief when seated. Nonsurgical treatment with the limb resting in flexion, further confirmed by the case presented in this study, still remains the treatment of choice in most cases, obtaining excellent functional results. The authors believe that it was of interest to report this clinical case because of the rareness of the pathology observed and because of the specific features of its etiology.",
author = "S. Giacomini and {Di Gennaro}, {G. L.} and O. Donzelli",
year = "2002",
language = "English",
volume = "87",
pages = "255--258",
journal = "Chirurgia degli Organi di Movimento",
issn = "0009-4749",
publisher = "Nouva Casa Edtrice Licino Cappelli GEM",
number = "4",

}

TY - JOUR

T1 - Fracture of the lesser trochanter.

AU - Giacomini, S.

AU - Di Gennaro, G. L.

AU - Donzelli, O.

PY - 2002

Y1 - 2002

N2 - Isolated fracture or detachment of the lesser trochanter is an infrequent occurrence. In most cases the event is part of a complex of fractures involving the femoral neck and the greater trochanter. Isolated fracture caused by direct trauma is rare because of the anatomical location of the lesser trochanter which is protected anteriorly and posteriorly by large muscular masses, superiorly by the head and the neck of the femur, laterally by the femur itself, and medially by the ilio- and ischio-public branches of the pelvis. Trauma is usually indirect, caused by sudden traction by the iliopsoas muscle on the femoral tendinous insertion. The highest frequency is observed in young patients who are still growing where there is an imbalance between muscular strength and resistance of the osteochondral plate of the tendinous insertion. Particularly affected are adolescent athletes of male sex aged from 13 to 17 years. Similar overloading of traction in an adult would probably produce only muscular stretching. Diagnosis is based on radiographic ascertainment, obtained with the thigh in extra-rotation, supported by rather typical clinical findings such as acute pain in the inguinal region and in Scarpa's triangle, limping, passive movement of the hip in all directions with pain in maximum extension and relief when seated. Nonsurgical treatment with the limb resting in flexion, further confirmed by the case presented in this study, still remains the treatment of choice in most cases, obtaining excellent functional results. The authors believe that it was of interest to report this clinical case because of the rareness of the pathology observed and because of the specific features of its etiology.

AB - Isolated fracture or detachment of the lesser trochanter is an infrequent occurrence. In most cases the event is part of a complex of fractures involving the femoral neck and the greater trochanter. Isolated fracture caused by direct trauma is rare because of the anatomical location of the lesser trochanter which is protected anteriorly and posteriorly by large muscular masses, superiorly by the head and the neck of the femur, laterally by the femur itself, and medially by the ilio- and ischio-public branches of the pelvis. Trauma is usually indirect, caused by sudden traction by the iliopsoas muscle on the femoral tendinous insertion. The highest frequency is observed in young patients who are still growing where there is an imbalance between muscular strength and resistance of the osteochondral plate of the tendinous insertion. Particularly affected are adolescent athletes of male sex aged from 13 to 17 years. Similar overloading of traction in an adult would probably produce only muscular stretching. Diagnosis is based on radiographic ascertainment, obtained with the thigh in extra-rotation, supported by rather typical clinical findings such as acute pain in the inguinal region and in Scarpa's triangle, limping, passive movement of the hip in all directions with pain in maximum extension and relief when seated. Nonsurgical treatment with the limb resting in flexion, further confirmed by the case presented in this study, still remains the treatment of choice in most cases, obtaining excellent functional results. The authors believe that it was of interest to report this clinical case because of the rareness of the pathology observed and because of the specific features of its etiology.

UR - http://www.scopus.com/inward/record.url?scp=0041806575&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0041806575&partnerID=8YFLogxK

M3 - Article

C2 - 12847795

AN - SCOPUS:0041806575

VL - 87

SP - 255

EP - 258

JO - Chirurgia degli Organi di Movimento

JF - Chirurgia degli Organi di Movimento

SN - 0009-4749

IS - 4

ER -