Clinical imaging · UKMLA & AKT

Femoral shaft fractures

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise femoral shaft fractures — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Fracture of the femoral diaphysis - distal to 5 cm below the lesser trochanter, proximal to the distal metaphysis
  • Young adults - high-energy trauma (RTAs most common); older patients - consider pathological fracture (osteoporosis, metastatic disease)
  • Closed fracture can cause ~1-1.5 litres blood loss into the thigh compartment - life-threatening haemorrhage

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Related UKMLA topics

Hip fractures (femoral neck and intertrochanteric)Tibial plateau fracturesTibial shaft fracturesAnkle fracturesCalcaneal fracturesPatellar fractures