MSK: Hip Fracture: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Hip Fracture🎧 A high-yield breakdown of this acute orthopaedic emergency — essential for MSRA prep and real-world clinical knowledge.🧠 Key Learning Points📌 Definition• Break in the proximal femur (upper thigh bone) near the hip joint• Most common in older adults, especially with underlying osteoporosis📌 Causes & Risk Factors• Falls (esp. elderly)• Osteoporosis (postmenopausal women)• High-energy trauma (younger patients)• Bone malignancy, corticosteroids, inactivity💡 Mnemonic: “Fragile bones fall first”📌 Pathophysiology• Fracture = trauma force > bone strength• Intracapsular fractures risk avascular necrosis due to disrupted femoral head blood supply📌 Symptoms• Hip/groin pain after trauma• Inability to walk or bear weight• Shortened, externally rotated leg• Swelling/bruising at hip💡 Mnemonic: “Short, sore, and spun outwards”📌 Differentials• Trochanteric bursitis• Pelvic fracture• OA flare• Referred pain from spine/knee• Ligament/muscle injury📌 Diagnosis• Clinical assessment• X-rays: AP pelvis + lateral hip• MRI: if x-rays negative but suspicion remains• CT: alternative to MRI• Bloods, ECG, pre-op screen💡 Tip: “If in doubt, image it out”📌 Management (NICE)• Surgery within 24–36 hrs (if stable) – Internal fixation for undisplaced/extracapsular – Hemi or total hip replacement for displaced intracapsular• Analgesia: paracetamol ± opioids (avoid NSAIDs in frail)• Early mobilisation + physio• Falls + bone health review (bisphosphonates, vit D)• Multidisciplinary approach• DVT/PE prophylaxis📌 Complications• Avascular necrosis• Non-union, infection• DVT/PE, pressure sores• Pneumonia, MI/stroke• Long-term immobility• 1-year mortality can be high📌 Prognosis• Depends on age, comorbidities, fracture type• Early surgery improves outcomes• Many do not regain baseline independence📚 MSRA Resources for Hip Fracture📎More MSRA Resourcesfor Hip Fracture📝 Revision Notes: https://www.passthemsra.com/topic/hip-fracture-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/hip-fracture-flashcards/💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/hip-fracture-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/hip-fracture-rapid-quiz/🎓 Full Course: https://www.passthemsra.com/quizzes/hip-fracture/🌐 Explore More:www.PassTheMSRA.comwww.FreeMSRA.com🔑 Final TipHip fractures are red flags in older adults. Early surgery, MDT care, and bone health optimisation save both function — and lives.#MSRA #HipFracture #MSRARevision #MSRAFlashcards #MSRAQuiz #Orthopaedics #PassTheMSRA #FreeMSRA #FragileBonesFallFirst #ElderlyFalls #SurgicalEmergency #OsteoporosisCare #MultiSpecialtyRecruitmentAssessment #MedicalRevision