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Линия перелома проходит между малым и большим вертелами бедренной кости [4](https://xn----7sbahghg9bhvbcaodkwfh.xn--p1ai/%D0%BD%D0%B0%D1%88%D0%B8-%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F/%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC%D0%BE%D0%B2/%D1%82%D1%80%D0%B0%D0%B2%D0%BC%D1%8B-%D1%82%D0%B0%D0%B7%D0%BE%D0%B1%D0%B5%D0%B4%D1%80%D0%B5%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D1%81%D1%83%D1%81%D1%82%D0%B0%D0%B2%D0%B0/%D1%87%D1%80%D0%B5%D0%B7%D0%B2%D0%B5%D1%80%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D1%8B%D0%B9-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC/). \n\n**Характерен** для людей пожилого возраста, страдающих остеопорозом [4](https://xn----7sbahghg9bhvbcaodkwfh.xn--p1ai/%D0%BD%D0%B0%D1%88%D0%B8-%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F/%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC%D0%BE%D0%B2/%D1%82%D1%80%D0%B0%D0%B2%D0%BC%D1%8B-%D1%82%D0%B0%D0%B7%D0%BE%D0%B1%D0%B5%D0%B4%D1%80%D0%B5%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D1%81%D1%83%D1%81%D1%82%D0%B0%D0%B2%D0%B0/%D1%87%D1%80%D0%B5%D0%B7%D0%B2%D0%B5%D1%80%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D1%8B%D0%B9-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC/). У молодых пациентов, как правило, возникает при высокоэнергетическом воздействии в результате автодорожной или производственной травмы [5](https://www.KrasotaiMedicina.ru/diseases/traumatology/pertrochanteric-hip-fracture).\n\n\n\n## Причины\nНекоторые причины чрезвертельного перелома: \n* падение на бок [5](https://www.KrasotaiMedicina.ru/diseases/traumatology/pertrochanteric-hip-fracture); \n* сильное скручивание нижней конечности [6](https://yusupovs.com/clinics/tsentr-travmatologii-i-ortopedii/otdelenie-travmatologii-v-moskve-v-yusupovskoy-bolnitse/perelom-bedra/chrezvertelnyy-perelom-bedrennoy-kosti/); \n* сдавливающее воздействие с двух сторон (например, производственные травмы) [6](https://yusupovs.com/clinics/tsentr-travmatologii-i-ortopedii/otdelenie-travmatologii-v-moskve-v-yusupovskoy-bolnitse/perelom-bedra/chrezvertelnyy-perelom-bedrennoy-kosti/); \n* сильный удар в верхнюю часть бедренной кости [6](https://yusupovs.com/clinics/tsentr-travmatologii-i-ortopedii/otdelenie-travmatologii-v-moskve-v-yusupovskoy-bolnitse/perelom-bedra/chrezvertelnyy-perelom-bedrennoy-kosti/). \n\nУ пожилых людей и пациентов с выраженным остеопорозом перелом может произойти даже при незначительных ударах в область верхней части бедра или при падении на бок [6](https://yusupovs.com/clinics/tsentr-travmatologii-i-ortopedii/otdelenie-travmatologii-v-moskve-v-yusupovskoy-bolnitse/perelom-bedra/chrezvertelnyy-perelom-bedrennoy-kosti/).\n\n## Симптомы\nНекоторые симптомы чрезвертельного перелома: \n* острая боль в области бедра, которая усиливается при попытке движения [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti); \n* невозможность опираться на повреждённую ногу или ходить [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti); \n* наружное вращение ноги — стопа разворачивается наружу [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti); \n* укорочение конечности — повреждённая нога может казаться короче здоровой [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti); \n* отёк и гематома в области перелома [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n\nПри появлении этих симптомов необходимо незамедлительно обратиться к врачу [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti).\n\n## Диагностика\nДля точного определения типа и тяжести перелома применяют следующие методы: \n* **Рентгенография** — основной метод, позволяет визуализировать линию перелома, степень смещения и повреждение окружающих структур [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n* **Компьютерная томография (КТ)** — используется для более детального изучения сложных переломов и оценки состояния суставов и мягких тканей [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n* **Магнитно-резонансная томография (МРТ)** — может применяться, если рентгеновские снимки не дают полной картины повреждений, например, при подозрении на повреждение связок или мягких тканей [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti).\n\n## Лечение\nЛечение чрезвертельного перелома может включать как консервативные методы, так и хирургическое вмешательство, в зависимости от тяжести травмы и состояния здоровья пациента [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n\n**Консервативное лечение** без операции показано лишь небольшой группе пациентов, которым невозможно провести анестезию из-за тяжёлого состояния или наличия выраженных сопутствующих болезней [4](https://xn----7sbahghg9bhvbcaodkwfh.xn--p1ai/%D0%BD%D0%B0%D1%88%D0%B8-%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F/%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC%D0%BE%D0%B2/%D1%82%D1%80%D0%B0%D0%B2%D0%BC%D1%8B-%D1%82%D0%B0%D0%B7%D0%BE%D0%B1%D0%B5%D0%B4%D1%80%D0%B5%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D1%81%D1%83%D1%81%D1%82%D0%B0%D0%B2%D0%B0/%D1%87%D1%80%D0%B5%D0%B7%D0%B2%D0%B5%D1%80%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D1%8B%D0%B9-%D0%BF%D0%B5%D1%80%D0%B5%D0%BB%D0%BE%D0%BC/). \n\n**Хирургическое лечение** (остеосинтез) — фрагменты кости фиксируются с помощью металлических пластин, винтов или штифтов [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n\n**Реабилитация** после операции — восстановление подвижности и функциональности конечности [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). Программа восстановления включает раннюю мобилизацию (уже через несколько дней после операции) и физиотерапию для восстановления подвижности сустава, улучшения кровообращения и укрепления мышц [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). \n\n**Прогноз** зависит от возраста пациента, состояния его костей, своевременности медицинской помощи и качества реабилитации [1](https://curare.clinic/articles/chrezvertelnyj-perelom-bedrennoj-kosti). 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