An intertrochanteric hip fracture occurs between the greater and lesser trochanters. It is a completely extra-articular fracture that is common in elderly osteoporotic patients after a simple fall. Younger patients typically experience this injury from high-energy trauma. Clinical features include pain, leg shortening, inability to bear weight, and external rotation deformity. Diagnosis involves pelvis and hip x-rays. Treatment is usually early internal fixation to obtain proper position and allow early ambulation, with options including dynamic hip screw and intramedullary nailing.