AI Article Synopsis
- Some hip fractures, called intertrochanteric fractures, can be unstable and might involve a part of the bone called the lesser trochanter.
- Doctors often fix these fractures using a device called a gamma nail, but sometimes this can lead to a problem called a false aneurysm in a blood vessel.
- Detecting a false aneurysm can be tricky since it doesn’t have clear signs, so doctors use special imaging tests to find it, and if it's big, surgery might be needed, while smaller ones can be fixed in a different way.
Article Abstract
A quarter of all intertrochanteric fractures are unstable with a fractured lesser trochanter. Mostly these fractures are treated with a gamma nail fixation. A rare complication of this treatment is a false aneurysm of the femoral artery. The authors present 2 cases of a false aneurysm of the femoral artery in association with intertrochanteric fractures. Because of its nonspecific symptoms, a false aneurysm is difficult to diagnose. A computed tomography angiography or duplex should be used to confirm the diagnosis and evaluate the options for treatment. Surgery is the preferred treatment in the case of a large aneurysm, whereas endovascular repair is preferred for smaller aneurysms.
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| http://dx.doi.org/10.1177/1531003510365088 | DOI Listing |
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