Hip fracture symptom after trauma.

Hip fracture symptom after trauma.

• A. Acute pain in the hip, groin, or thigh after trauma.
• B. Chronic dull knee pain
• C. Pain that improves with weight bearing
• D. Pain only with rest

Answer: (A)

The main idea here is that an acute hip fracture after trauma presents with sudden, severe pain in the hip region (the hip, groin, or anterior thigh) immediately following the injury, along with an inability to bear weight on the affected leg. This reflects a fracture of the proximal femur or femoral neck and is often seen after a fall, especially in older adults. On examination, there may be tenderness around the hip and the leg may appear shortened and externally rotated. Prompt imaging with X-ray is used to confirm, though occult fractures may require MRI or CT if suspicion remains high. Chronic dull knee pain doesn’t fit an acute hip fracture, since the injury is hip-focused and linked to trauma, not a knee condition. Pain that improves with weight bearing also doesn’t fit, because pain from a hip fracture typically worsens with movement and weight bearing. Pain present only with rest is not characteristic of an acute fracture, where pain is provoked by movement and weight bearing.

The main idea here is that an acute hip fracture after trauma presents with sudden, severe pain in the hip region (the hip, groin, or anterior thigh) immediately following the injury, along with an inability to bear weight on the affected leg. This reflects a fracture of the proximal femur or femoral neck and is often seen after a fall, especially in older adults. On examination, there may be tenderness around the hip and the leg may appear shortened and externally rotated. Prompt imaging with X-ray is used to confirm, though occult fractures may require MRI or CT if suspicion remains high.

Chronic dull knee pain doesn’t fit an acute hip fracture, since the injury is hip-focused and linked to trauma, not a knee condition. Pain that improves with weight bearing also doesn’t fit, because pain from a hip fracture typically worsens with movement and weight bearing. Pain present only with rest is not characteristic of an acute fracture, where pain is provoked by movement and weight bearing.