Greater Trochanter Hip Fracture S72.109A 820.20

greater trochanteric hip femur fractureGreater trochanteric fracture 

Greater trochanteric femur fracture CT
ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:greater troch fracture, greater trochanteric fracture, 

Greater Trochanter Fracture ICD-10

A- initial encounter for closed fracture

B- initial encounter for open fracture type I or II

C- initial encounter for open fracture type IIIA, IIIB, or IIIC

D- subsequent encounter for closed fracture with routine healing

E- subsequent encounter for open fracture type I or II with routine healing

F- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

G- subsequent encounter for closed fracture with delayed healing

H- subsequent encounter for open fracture type I or II with delayed healing

J- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

K- subsequent encounter for closed fracture with nonunion

M- subsequent encounter for open fracture type I or II with nonunion

N- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

P- subsequent encounter for closed fracture with malunion

Q- subsequent encounter for open fracture type I or II with malunion

R- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

S- sequela

Greater Trochanter Fracture CPT Codes

Greater Trochanter Fracture ICD-9

  • 820.20   Fracture of neck of femur; trochanteric section, unspecified  Trochanter; NOS greater

Greater Trochanter Fracture Etiology / Epidemiology / Natural History

  • Generally occurs from falls
  • May occur following THA

Greater Trochanter Fracture Anatomy

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Greater Trochanter Fracture Clinical Evaluation

  • Lateral hip pain after a fall.

Greater Trochanter Fracture Xray / Diagnositc Tests

  • A/P and lateral of hip, AP pelvis generally demonstrates fracture
  • MRI generally indicated.  There is a very high association of additional fracture (intertrochanteric fracture) found on MRI which are is not demonstrated on xray. Up to 95% may have associated fracture. (Feldman F, American Journal of Roentgenology. 2004;183: 323-329.)

Greater Trochanter Fracture Classification / Treatment

  • Nondisplaced isolated greater trochanteric fracture: rare. Protected partial weight bearing until fracture callus visible on xray (4-6 weeks).  Then gradually progress to WBAT. 
  • Displaced isolated greater trochanteric fracture: rare.  Consider ORIF depending on patient age, activity level and comorbidities
  • With associated fracture (typically intertroch fracture): treat as the associated fracture.  See Intertrochanteric Femur Fracture 

Greater Trochanter Fracture Associated Injuries / Differential Diagnosis

Greater Trochanter Fracture Complications

Greater Trochanter Fracture Follow-up Care

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Greater Trochanter Fracture Review References

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