Femoral Neck Fractures
- PMID: 30726032
- Bookshelf ID: NBK537347
Femoral Neck Fractures
Excerpt
Hip fractures are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients who perform in athletics or high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. In the United States, the economic burden of hip fractures is amongst the top 20 expensive diagnoses, with approximately 20 billion dollars spent on the management of this injury. It is estimated there will be approximately 300,000 cases of hip fractures annually in the United States by the year 2030.
Femoral neck fractures are a specific type of intracapsular hip fracture. The femoral neck connects the femoral shaft with the femoral head. The hip joint is the articulation of the femoral head with the acetabulum. The junctional location makes the femoral neck prone to fracture. The blood supply of the femoral head is an essential consideration in displaced fractures as it runs along the femoral neck.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Crist BD, Eastman J, Lee MA, Ferguson TA, Finkemeier CG. Femoral Neck Fractures in Young Patients. Instr Course Lect. 2018 Feb 15;67:37-49. - PubMed
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- Shimizu T, Miyamoto K, Masuda K, Miyata Y, Hori H, Shimizu K, Maeda M. The clinical significance of impaction at the femoral neck fracture site in the elderly. Arch Orthop Trauma Surg. 2007 Sep;127(7):515-21. - PubMed
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- Miyamoto RG, Kaplan KM, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures: an evidence-based review of the literature. I: femoral neck fractures. J Am Acad Orthop Surg. 2008 Oct;16(10):596-607. - PubMed
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- Brox WT, Roberts KC, Taksali S, Wright DG, Wixted JJ, Tubb CC, Patt JC, Templeton KJ, Dickman E, Adler RA, Macaulay WB, Jackman JM, Annaswamy T, Adelman AM, Hawthorne CG, Olson SA, Mendelson DA, LeBoff MS, Camacho PA, Jevsevar D, Shea KG, Bozic KJ, Shaffer W, Cummins D, Murray JN, Donnelly P, Shores P, Woznica A, Martinez Y, Boone C, Gross L, Sevarino K. The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly. J Bone Joint Surg Am. 2015 Jul 15;97(14):1196-9. - PMC - PubMed
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