Background

76 year old F with a history of DM2, hypertension, and osteoporosis presents to your emergency department after a ground level fall. The patient reports she was walking her dog and her dog chased after their neighbors cat. The patient was pulled to the ground and fell onto her right side. She thinks she may have landed on a small wall made of bricks. She noticed immediate pain in her right hip and lower back and was unable to ambulate on scene. Vital signs are within normal limits. Exam demonstrates ecchymosis over the right greater trochanter with active ROM of the right leg limited by pain in the hip. Sensation is intact and DP pulses are symmetric in the lower extremities. The remainder of your exam is normal. X-rays of the right hip and pelvis demonstrate a mildly displaced fracture through the proximal neck of the right femur.