Seinsheimer Classification (Subtrochanteric Fracture)

Seinsheimer classification of subtrochanteric femur fractures, types I/IIA/IIB/IIC/IIIA/IIIB/IV/V, by fragment count, fracture-line shape, and lesser-trochanter attachment.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Seinsheimer type
Type IIB - two-part spiral, lesser troch on proximal fragment

Result: Seinsheimer type IIB: two-part spiral fracture with the lesser trochanter attached to the proximal fragment.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Type I
Nondisplaced, or less than 2 mm of displacement.
Type IIA
Two-part transverse fracture.
Type IIB
Two-part spiral, lesser trochanter on the proximal fragment.
Type IIC
Two-part spiral, lesser trochanter on the distal fragment.
Type IIIA
Three-part spiral, lesser trochanter in the third fragment (inferior spike).
Type IIIB
Three-part spiral with a butterfly fragment.
Type IV
Comminuted, four or more fragments.
Type V
Subtrochanteric-intertrochanteric (extends through the greater trochanter).

What you enter

  • Seinsheimer type
How this is calculated

Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg Am. 1978;60(3):300-306. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.