Overview
What are the AAOS treatment guidelines for hip fracture in elderly patients?
What is the prevalence of hip fractures in the US?
What is the functional anatomy of the hip relevant to hip fractures?
What are the sport-specific biomechanics of the hip relevant to hip fractures?
Presentation
Which clinical history findings are characteristic of hip fractures?
Which physical findings are characteristic of hip fractures?
DDX
What are the differential diagnoses for Hip Fracture?
Workup
What is the role of lab testing in the workup of hip fractures?
What is the role of imaging studies in the workup of hip fractures?
Treatment
What is the role of physical therapy during the acute phase of hip fracture treatment?
How are femoral neck hip fractures classified?
How are intertrochanteric hip fractures classified?
How are pediatric hip fractures classified?
How are hip stress fractures classified based on MRI findings?
What are the possible complications of poorly treated or misdiagnosed hip stress fractures?
What is the role surgery during the acute phase of hip fracture treatment?
Which specialist consultations are beneficial to patients with hip fractures?
What is the role of physical therapy during the recovery phase of hip fracture treatment?
What is the role of surgery in the treatment of hip stress fractures?
What is the role of physical therapy during the maintenance phase of hip fracture treatment?
Medications
What is the role of medications in the treatment of hip fractures?
Which medications in the drug class Analgesics are used in the treatment of Hip Fracture?
Which medications in the drug class Antibiotics are used in the treatment of Hip Fracture?
Follow-up
What are the indications for return to play following treatment of a hip fracture?
What are the possible complications of hip fractures?
What is the prognosis of hip fractures?
What is included in the patient education about hip fractures?
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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 view of the contralateral hip for comparison.
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Intraoperative x-ray film (fluoroscopic view) of placement of the lag screw.
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Addition of a superior derotational screw to maintain alignment and allow compression.
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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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Garden I femoral neck fracture. Note the valgus impaction with compression of the superior femoral head-neck junction.
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Lateral view of a Garden I femoral neck fracture. Compression of the head-neck junction inferiorly.
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Anteroposterior view of the pelvis with a displaced femoral neck fracture.
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Lateral view of a displaced femoral neck fracture.
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Displaced femoral neck fracture treated with a conventional, noncemented monopolar hemiarthroplasty.
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Lateral view of a unipolar hemiarthroplasty.
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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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A lateral x-ray film of a calcar replacement hemiarthroplasty.
