Your doctor may also prescribe medications to prevent blood clots, relieve pain and treat any infection that may be present. Treatment of a femoral neck fracture will depend on your age and the extent of displacement of the fractured bone.Ĭonservative therapeutic approaches are suggested for uncomplicated fractures and include bed rest for a few days followed by a physical rehabilitation program after 2 or 3 days. Radiographic image of a broken Shenton’s curve, which shows the relationship of the femoral head to the acetabulum, indicates a femoral neck fracture. Your doctor may also perform other imaging tests such as the magnetic resonance imaging (MRI), and computer tomography (CT) scan to obtain further information. Your doctor will order an X-ray to diagnose a femoral neck fracture. Increased pain in the hip during rotation of the legįemoral neck fractures are diagnosed based on physical examination, your symptoms and circumstances of the accident.Shortening or sideways rotation of the affected leg.The symptoms of a femoral neck fracture include: Younger individuals unaccustomed to sudden strenuous activity or change in activity.High-impact trauma such as motor vehicle accidents.A minor fall or twisting of the hip in the elderly.In cases of badly displaced femoral neck fractures, the decreased blood supply prevents these fractures from healing. These fractures may disrupt the blood supply to the fractured portion of the bone. Femoral neck fractures may be either displaced, where the bone is moved out of its original position, or non-displaced, where there is no instability of the bone. The neck of the femur is the region just below the ball of the hip joint.įractures to the femoral neck can completely or partially disconnect the femoral head from the rest of the femur. Long-term outcome of undisplaced fatigue fractures of the femoral neck in young male adults.The hip is a ball-and-socket joint made up of the head of the thigh bone or femur that acts as the ball and fits into the rounded socket of the hip bone or acetabulum. ĭisplaced Femoral Neck Fatigue Fractures in Military Recruits. Subchondral Fatigue Fracture of the Femoral Head in Military Recruits. Ītypical Tensile-Sided Femoral Neck Stress Fractures. Surgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases. įemoral neck stress fractures in children and adolescents. Insufficiency stress fractures of the femoral neck in elderly women. Stress fractures of the femoral neck in athletes. see technique of cannulated screw insertion they are potentially unstable & should undergo internal fixation fractures of both cortices must undergo immediate internal fixation
non operative therapy consists of a period of bed rest followed by protected wt bearing are more stable than tension frxs & generally can be treated w/o surgery if no frx line is present
#Femoral neck fracture symptoms serial
must include frequent serial radiographs to detect any changes in frx pattern or displacement. look for decreased signal intensity on T1 and increased signal on T2 is an alternative to bone scan and allows an early diagnosis bone scan or MRI is necessary to identify the fracture this fracture type is more likely to progress and displace causes a transverse fracture across the femoral neck tension fractures occur on the superior aspect of the femoral neck look for internal callus at the inferior femoral neck compression frxs occur on the inferior aspect of the femoral neck stress frxs are classified as either tension or compression frx radiographic evidence of disruption of both cortices or frx widening is indication for prompt internal fixation to prevent displacement initial radiographs are often normal, but even late radiographs may fail to show reactive changes diff dx: AVN and transient osteoporosis patients may note groin pain that is made worse with activity and that is relieved with rest these patients will also require an osteoporosis work up and quantification of bone density like most stress frx, women are most often affected and it is important to inquire about amenorrhea and occult eating disorders stress frx of femoral neck are relatively uncommon injuries, with most reports involving military recruits & athletes who are subjected to increased physical demands
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