Hip fractures

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources

When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Последний просмотренный: 5 Aug 2026
Last updated: 23 Jul 2026

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • history of fall or trauma
  • inability to bear weight
  • pain in affected leg/hip
  • pain with hip movement
Полная информация

Другие диагностические факторы

  • shortened and externally rotated leg
Полная информация

Факторы риска

  • osteoporosis/osteopenia
  • age over 65 years
  • falls
  • low body mass index
  • female sex
  • high-energy trauma
  • use of certain drugs
  • ethnicity
  • dementia
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • plain x-rays
Полная информация

Исследования, проведение которых нужно рассмотреть

  • MRI pelvis (without contrast)
  • CT pelvis (without contrast)
Полная информация

Алгоритм лечения

Острый

intracapsular (femoral neck) fracture

extracapsular (intertrochanteric) fracture

Составители

Эксперты-консультанты

Nicole M. Stevens, MD

Assistant Professor Orthopedic Trauma

Director, Fragility Fracture Service, NYU Langone Hospital - Long Island

Department of Orthopedic Surgery

NYU Langone Health-Long Island, NY

Раскрытие информации

NMS declares that she has no competing interests.

Abhishek Ganta, MD FAAOS

Assistant Professor of Orthopedic Surgery, NYU Langone Health

Co-Director of Orthopedic Trauma, Medisys Health Network

Associate Program Director NYU Langone Orthopedics

NY

Раскрытие информации

AG declares that he has no competing interests.

Выражение благодарностей

Dr Nicole M. Stevens and Dr Abhishek Ganta would like to gratefully acknowledge Dr Herman Johal, Dr Bradley A. Petrisor, and Dr Mohit Bhandari, the previous contributors to this topic.

Раскрытие информации

HJ, BAP, and MB declare that they have no competing interests.

Рецензенты

Marc F. Swiontkowski, MD

Professor

Department of Orthopedic Surgery

University of Minnesota

Minneapolis, MN

Раскрытие информации

MFS is Editor-in-Chief of the Journal of Bone and Joint Surgery.

Rudolf Poolman, MD, PhD

Consultant Orthopaedic Surgeon

Onze Lieve Vrouwe Gasthuis

Teaching Hospital with The University of Amsterdam

Department of Orthopaedic Surgery

Amsterdam

The Netherlands

Раскрытие информации

RP has been reimbursed by LINK for organizing education and research consultancy.

David Hackam, MD, PhD

Assistant Professor of Surgery

Children's Hospital of Pittsburgh

Pittsburgh, PA

Раскрытие информации

DH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

American Academy of Orthopaedic Surgeons. Management of hip fractures in older adults: evidence-based clinical practice guideline. December 2021 [internet publication].Полный текст

American College of Radiology. ACR appropriateness criteria: acute hip pain. 2024 [internet publication].Полный текст

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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