What criteria is used to classify femoral neck fractures?
What criteria is used to classify femoral neck fractures?
The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.
How are hip fractures classified?
The traditional Garden classification is divided into 4 types. Type 1 fractures are incomplete and valgus impacted, while type 2 fractures are complete. Type 3 fractures are partially displaced, and type 4 fractures are completely displaced.
What type of femoral head fracture is associated with the worst clinical outcome?
First, they clearly demonstrated that fractures that involve superior areas of the acetabulum have a worse prognosis than involvement of the inferior acetabular area. The “burst” fracture, which was due to “upward and medial thrust” of the femoral head, demonstrated the worst outcomes.
What is a femoral head fracture?
Fracture of the femoral head is a severe, relatively uncommon injury; typically, it occurs following traumatic posterior dislocation of the hip joint. The Pipkin classification is the most commonly used classification system.
Are femoral head fractures intracapsular?
This is predominantly through the medial circumflex femoral artery, which lies directly on the intra-capsular femoral neck. Consequently, displaced intra-capsular fractures disrupt the blood supply to the femoral head and, therefore, the femoral head will undergo avascular necrosis (even if the hip is fixed).
What is femoral head fracture?
What is femoral head?
The femoral head is the most proximal portion of the femur and is supported by the femoral neck. It articulates with the acetabulum of the pelvis. The femoral head is nearly spherical (two-thirds) but has a medial depression known as the fovea capitis femoris that serves as an attachment point for the ligamentum teres.
What is treatment for femoral neck fracture?
If your fracture can’t be seen in the images and you still have symptoms, your doctor may recommend a CT scan, or an MRI or bone scan for a more detailed look. Treatment of femoral neck fractures usually involves surgery, medication, and rehabilitation. Pain medication provides short-term relief from pain.
What causes femoral head pain?
The hip joint is a potential space, meaning that there is a minimal amount of fluid inside it to allow the femoral head to glide in the socket of the acetabulum. Any illness or injury that causes inflammation will cause this space to fill with fluid or blood, stretching the hip capsule lining and resulting in pain.
What is a stress fracture of the femoral head?
In some instances, the femoral head is displaced with such force that the femoral head cracks or breaks. This type of fracture is usually the result of a high-impact injury such as a car crash. In people with osteoporosis, a type of stress fracture called an insufficiency fracture may develop in the femoral head.
