Hip fractures

  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos

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Última revisión: 29 Jun 2025
Última actualización: 09 Oct 2024

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • inability to bear weight
  • pain in affected leg/hip
  • pain with hip movement
Todos los datos

Otros factores de diagnóstico

  • shortened and externally rotated leg
Todos los datos

Factores de riesgo

  • osteoporosis/osteopenia
  • age over 65 years
  • falls
  • low body mass index
  • female sex
  • high-energy trauma
  • medications
  • ethnicity
  • dementia
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • plain x-rays
Todos los datos

Pruebas diagnósticas que deben considerarse

  • MRI pelvis (without contrast)
  • CT pelvis (without contrast)
  • technetium bone scan
Todos los datos

Algoritmo de tratamiento

Agudo

intracapsular (femoral neck) fracture

extracapsular (intertrochanteric) fracture

Colaboradores

Consejeros especializados

Herman Johal, MD, MPH, FRCSC

Orthopaedic Trauma Surgeon

Assistant Professor

Department of Surgery

McMaster University

Hamilton, Ontario

Canada

Disclosures

HJ declares that he has no competing interests.

Acknowledgements

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

Disclosures

BAP and MB declare that they have no competing interests.

Peer reviewers

Marc F. Swiontkowski, MD

Professor

Department of Orthopedic Surgery

University of Minnesota

Minneapolis

MN

Disclosures

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

Disclosures

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

Disclosures

DH declares that he has no competing interests.

References

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.

Key articles

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

American College of Radiology. ACR appropriateness criteria: acute hip pain - suspected fracture. 2018 [internet publication].Full text

Reference articles

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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