Femur Fracture Workup

Updated: Sep 28, 2015
  • Author: James E Keany, MD, FACEP; Chief Editor: Trevor John Mills, MD, MPH  more...
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Laboratory Studies

No specific laboratory studies are indicated for femur fracture. In a patient with a large, expanding hematoma, measure serial hematocrits and obtain type and crossmatch in case a blood transfusion becomes necessary.

For patients who require open reduction and internal fixation (ORIF), obtain preoperative tests, including chest radiography and ECG.


Imaging Studies

Anteroposterior (AP) and lateral views of the femur normally are sufficient. As with all long-bone fractures, obtain images of the joint above and below fracture.

If a vascular injury is suspected, perform arteriography.

Anteroposterior radiograph of a femur fracture in Anteroposterior radiograph of a femur fracture in a 45-year-old man.