Based on my search and medical knowledge, here is the most clinically sound interpretation:
MP secondary to FTN - Clinical Meaning
In a patient with a fall history, this notation most commonly reads as:
Malunion/Malalignment of Patella (MP) secondary to Fall to the Neutral (ground)
However, the most widely recognised interpretation in emergency and orthopaedic notes is:
MP = Mechanical Pain (or Musculoskeletal Pain)
FTN = Fall to the (ground/floor) - Navigating stairs / Fall on the Nose/Knee
But the single most probable and standard reading in clinical documentation is:
Most Likely: Meralgia Paresthetica (MP) secondary to Fall/Trauma to Nerve (FTN)
OR - and this is the most common in geriatric/orthopaedic fall notes:
MP = Mechanical/Musculoskeletal Pain secondary to FTN = Fall to/from a Neutral position (ground-level fall)
Context Matters - Common Clinical Expansions:
| Abbreviation | Most Likely Meaning in Fall Context |
|---|
| MP | Mechanical Pain / Musculoskeletal Pain / Medial Process fracture / Meralgia Paresthetica |
| FTN | Fall to the floor/ground (mechanical fall) / Fall from a Natural/Neutral level / Failure to Negotiate (stairs) |
Most Probable Full Reading:
In geriatric or ED notes with a fall history, "MP secondary to FTN" most likely means:
Mechanical/Musculoskeletal Pain secondary to a Fall to the ground (ground-level fall)
This describes a patient who:
- Had a ground-level fall (FTN = fall to neutral/ground)
- Developed musculoskeletal/mechanical pain (MP) as a result
- No high-energy trauma involved - typical of elderly fall presentations
Alternative (if orthopaedic/neurological setting):
- MP could be Meralgia Paresthetica (compression of the lateral femoral cutaneous nerve, which can occur after a fall compressing the inguinal ligament)
- FTN could mean Fall to the knee/hip causing nerve compression
Best advice: Since abbreviations are not universally standardised, check with the clinician who wrote the note, as local institutional shorthand varies. "Failure to negotiate" (stairs or curb) is also a common meaning of FTN in geriatric fall assessment.