Dr Beaver's tute - femoral neck fractures

Question 1

what is important about femoral neck fractures

Answer 1

whether the femoral head blood supply is affected and how

any fracture that occurs inside the capsule (intra-capsular) has the potential to interrupt blood supply and cause avascular necrosis especially displaced ones.

Question 2

intracapsular

Answer 2

inside the soft tissue ligaments that contain the joint
if a fracture happens within this space can cause avascular necrosis

Question 3

what treatment would a intracapsular fracture get in an elrerly

Answer 3

either half or full hip replacement depending on their activity level

usually insufficiency fracture

Question 4

what if a young person has a intracapsular fracture

Answer 4

the ortho will do anything to avoid a hip replacement
because a hip replacement will eventually fail

Question 5

intratrochanteric fracture

Answer 5

won’t be at risk of vascular necrosis
this can be treated using internal fixation - won’t need to replace the hip joint

Question 6

what else?

Answer 6

dr beaver says that will be enough knowledge on femoral neck to get you through your exam.