Femoral Neck Fracture

Question 1

What are the two common types of hip fractures

Answer 1

1. Femoral neck
2. Intertrochanteric hip fractures
   *in both the affected limb is generally shortened and in ER

Question 2

What are femoral neck fractures due to?

Answer 2

Decreased bone mass and increased frequency of falls
*F>M
*elderly

Question 3

What will a patient usually present with when they have a femoral neck fracture?

Answer 3

Osteoporosis

Question 4

Where does the fracture occur within

Answer 4

The joint capsule

Question 5

What is the clinical presentation of a femoral neck fracture

Answer 5

1. Complaint of hip pain, with a h/o a fall
2. Is the fracture is displaced they are usually unable to get up due to pain and instability

Question 6

What are the PE findings

Answer 6

1. Hip pain with any movement of the hip
2. Affected side may be shortened
3. Leg rests in external rotation
4. Typically no significant swelling because fx is within the capsule

Question 7

Where does the blood supply to the femoral head come from

Answer 7

Retinacular vessels
*the vessels will be damaged by the fax
*femoral head undergoes AVN
*will collapse with WB

Question 8

What is the treatment of femoral neck fracture

Answer 8

1. Hemiarthroplasty
2. Early mobilization

Question 9

After surgery what is the patient allowed to do

Answer 9

WBAT or Non WB for 6-12 weeks
*can attempt conservative non-operative treatment if fracture is stable/impacted