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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Workup

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.

Next:

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.
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