Femoral neck fracture

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Background

  • Common in older patients with osteoporosis; rarely seen in younger patients

Clinical Features

  • Typically minimal bruising (intracapsular)
  • If fractured and displaced: externally rotated and shortened
  • If non-displaced: patient may be ambulatory

Differential Diagnosis

Femur fractures

Proximal

Shaft

Evaluation

30% of patients with symptoms suggestive of fracture but negative x-rays have fracture on MRI

Location of femur fractures
  • Consider AP pelvis in addition to AP/lateral views to compare contralateral side
  • Consider MRI if strong clinical suspicion but negative x-ray

Management

  • Ortho consult
  • Skeletal traction is contraindicated (may compromise femoral head blood flow)

Disposition

  • Admit

See Also

External Links

References