Fracture Neck of Femur
What is it?
A fracture of the neck of the femur (femoral neck fracture, hip fracture) is a fracture that occurs in the proximal part of the femur, close to the hip joint. There are several types of such a fracture, depending on its exact location. In the vast majority of cases, a femoral neck fracture occurs in people with weak bones, mainly due to osteoporosis. In this situation, a relatively small force (e.g. a slight fall or injury) is sufficient to cause a fracture. In a small number of cases, a fracture in the femoral neck happens to a healthy bone, most often in an accident in which a lot of force was applied to the bone. A femoral neck fracture is associated with morbidity and mortality in old age, and often requires prolonged hospitalization and rehabilitation
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Additional names
This group contains additional names:
- Open Pertrochanteric Fracture of Femur
- Open Transcervical Fracture of Femur
- Closed Pertrochanteric Fracture of Femur
- Closed Transcervical Fracture of Femur
Signs & symptoms
The classic symptom of a femoral neck fracture is hip pain and inability to carry weight on the leg. On physical examination, there is usually a shortening of the injured leg and it rotates sideways and outward.
Diagnosis
In cases of suspected femoral neck fracture, a physical examination and an X-RAY of the hip are usually diagnostic.
Treatment
In most cases, femoral neck fracture is surgically repaired. Surgery involves fixation of the broken bone, or partial or complete replacement of the hip joint. The choice of surgery over conservative management, and the appropriate type of surgery, depends on the type of fracture and the general condition of the patient. Rehabilitation of several weeks is usually necessary to return to function, although in some cases there will be no return to full function and it will be necessary to adjust a walking stick or walker. Upon recovery, it is important for the patient to adjust his or her habits and home environment to prevent further falls, for example by removing slippery rugs, using comfortable shoes and performing a vision test.
☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.
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