eMedicine Specialties > Sports Medicine > Hip

Hip Fracture: Multimedia

Author: Naveenpal S Bhatti, MD, Consulting Staff, Department of Emergency Medicine, Hayward/Fremont Medical Centers
Coauthor(s): Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopaedic Surgery, Wishard hospital
Contributor Information and Disclosures

Updated: Jan 30, 2009

Multimedia

A subcapital femoral neck fracture. Slight compre...
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Media file 1: A subcapital femoral neck fracture. Slight compression of the femoral head onto the femoral neck can be seen. Note the cortical break medially. This fracture could be missed if not closely evaluated.
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A subcapital femoral neck fracture. Slight compre...

A subcapital femoral neck fracture. Slight compression of the femoral head onto the femoral neck can be seen. Note the cortical break medially. This fracture could be missed if not closely evaluated.

A view of the contralateral hip for comparison.
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Media file 2: A view of the contralateral hip for comparison.
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A view of the contralateral hip for comparison.

A view of the contralateral hip for comparison.

Intraoperative x-ray film (fluoroscopic view) of ...
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Media file 3: Intraoperative x-ray film (fluoroscopic view) of placement of the lag screw.
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Intraoperative x-ray film (fluoroscopic view) of ...

Intraoperative x-ray film (fluoroscopic view) of placement of the lag screw.

Addition of a superior derotational screw to main...
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Media file 4: Addition of a superior derotational screw to maintain alignment and allow compression.
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Addition of a superior derotational screw to main...

Addition of a superior derotational screw to maintain alignment and allow compression.

Internal fixation of the subcapital femoral neck ...
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Media file 5: Internal fixation of the subcapital femoral neck fracture with a screw and short side plate with an additional derotational screw above. Final anteroposterior view.
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Internal fixation of the subcapital femoral neck ...

Internal fixation of the subcapital femoral neck fracture with a screw and short side plate with an additional derotational screw above. Final anteroposterior view.

Garden I femoral neck fracture. Note the valgus i...
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Media file 6: Garden I femoral neck fracture. Note the valgus impaction with compression of the superior femoral head-neck junction.
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Garden I femoral neck fracture. Note the valgus i...

Garden I femoral neck fracture. Note the valgus impaction with compression of the superior femoral head-neck junction.

Lateral view of a Garden I femoral neck fracture....
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Media file 7: Lateral view of a Garden I femoral neck fracture. Compression of the head-neck junction inferiorly.
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Lateral view of a Garden I femoral neck fracture....

Lateral view of a Garden I femoral neck fracture. Compression of the head-neck junction inferiorly.

Anteroposterior view of the pelvis with a displac...
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Media file 8: Anteroposterior view of the pelvis with a displaced femoral neck fracture.
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Anteroposterior view of the pelvis with a displac...

Anteroposterior view of the pelvis with a displaced femoral neck fracture.

Lateral view of a displaced femoral neck fracture.
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Media file 9: Lateral view of a displaced femoral neck fracture.
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Lateral view of a displaced femoral neck fracture.

Lateral view of a displaced femoral neck fracture.

Displaced femoral neck fracture treated with a co...
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Media file 10: Displaced femoral neck fracture treated with a conventional, noncemented monopolar hemiarthroplasty.
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Displaced femoral neck fracture treated with a co...

Displaced femoral neck fracture treated with a conventional, noncemented monopolar hemiarthroplasty.

Lateral view of a unipolar hemiarthroplasty.
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Media file 11: Lateral view of a unipolar hemiarthroplasty.
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Lateral view of a unipolar hemiarthroplasty.

Lateral view of a unipolar hemiarthroplasty.

An example of a calcar replacement hemiarthropla...
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Media file 12: An example of a calcar replacement hemiarthroplasty. A low femoral neck fracture extending into the calcar femoralis, not amenable to internal fixation or conventional hemiarthroplasty, requiring a calcar replacement prosthesis.
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An example of a calcar replacement hemiarthropla...

An example of a calcar replacement hemiarthroplasty. A low femoral neck fracture extending into the calcar femoralis, not amenable to internal fixation or conventional hemiarthroplasty, requiring a calcar replacement prosthesis.

A lateral x-ray film of a calcar replacement hemi...
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Media file 13: A lateral x-ray film of a calcar replacement hemiarthroplasty.
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A lateral x-ray film of a calcar replacement hemi...

A lateral x-ray film of a calcar replacement hemiarthroplasty.

More on Hip Fracture

Overview: Hip Fracture
Differential Diagnoses & Workup: Hip Fracture
Treatment & Medication: Hip Fracture
Follow-up: Hip Fracture
Multimedia: Hip Fracture
References
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References

  1. Zachazewski JE, Magee DJ, Quillen WS, eds. Athletic Injuries and Rehabilitation. Philadelphia, Pa: WB Saunders; 1996:599-604.

  2. DeLee JC, Drez D, eds. Orthopaedic Sports Medicine: Principles and Practice. Vol 2. Philadelphia, Pa: WB Saunders; 1994:1076-80.

  3. Anderson MK, Hall SJ, Martin M, eds. Sports Injury Management. Baltimore, Md: Lippincott Williams & Wilkins; 2000:412-3.

  4. Shin AY, Gillingham BL. Fatigue fractures of the femoral neck in athletes. J Am Acad Orthop Surg. Nov 1997;5(6):293-302. [Medline].

  5. Canavan PK, ed. Rehabilitation in Sports Medicine: A Comprehensive Guide. Stamford, Conn: Appleton & Lange; 1998:265-6.

  6. Davison BL, Weinstein SL. Hip fractures in children: a long-term follow-up study. J Pediatr Orthop. May-Jun 1992;12(3):355-8. [Medline].

  7. Egol KA, Koval KJ, Kummer F, Frankel VH. Stress fractures of the femoral neck. Clin Orthop Relat Res. Mar 1998;348:72-8. [Medline].

  8. Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Joint Surg Am. Mar 1979;61(2):216-21. [Medline]. [Full Text].

  9. Leboff MS, Narweker R, Lacroix A, et al. Homocysteine levels and risk of hip fracture in postmenopausal women. J Clin Endocrinol Metab. Jan 27 2009;epub ahead of print. [Medline].

  10. Shabat S, Nyska M, Eintacht S, et al. Serum leptin level in geriatric patients with hip fractures: possible correlation to biochemical parameters of bone remodeling. Arch Gerontol Geriatr. Mar-Apr 2009;48(2):250-3. [Medline].

  11. Zarin JS, Zurakowski D, Burke DW. Claw plate fixation of the greater trochanter in revision total hip arthroplasty. J Arthroplasty. Feb 2009;24(2):272-80. [Medline].

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Further Reading

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Keywords

hip fracture, femoral neck fracture, intracapsular hip fracture, hip stress fracture, femoral neck stress fracture, femoral stress fracture, Garden classification, Colonna classification, Evan classification, broken hip, fractured hip, cracked hip

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Contributor Information and Disclosures

Author

Naveenpal S Bhatti, MD, Consulting Staff, Department of Emergency Medicine, Hayward/Fremont Medical Centers
Naveenpal S Bhatti, MD is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopaedic Surgery, Wishard hospital
Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, and Sierra Sacramento Valley Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Gerard A Malanga, MD, Founder and Director, New Jersey Sports Medicine Institute; Director of Pain Management, Overlook Hospital; Director of Sports Medicine, Sports Medicine Fellowship Director, Mountainside Hospital; Clinical Chief, Rehabilitation Medicine and Electrodiagnosis, St Michael's Medical Center; Medical Director, Consultant, Horizon Healthcare Worker's Compensation Services, Blue Cross and Blue Shield Worker's Compensation
Gerard A Malanga, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Physical Medicine and Rehabilitation, American College of Sports Medicine, North American Spine Society, and Physiatric Association of Spine, Sports and Occupational Rehabilitation
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Henry T Goitz, MD, Fellowship Director, Sports Medicine, Department of Orthopedic Surgery, Henry Ford Hospital
Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD, Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago
Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

 
 
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