Clinical imaging · UKMLA & AKT
Femoral shaft fractures
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
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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