Hip fractures

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  • Обзор
  • Теория
  • Диагноз
  • Лечение
  • Последующее наблюдение
  • Источники

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Последний просмотренный: 6 Nov 2025
Last updated: 21 Aug 2025

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • 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
  • medications
  • 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

Herman Johal, MD, MPH, FRCSC

Orthopaedic Trauma Surgeon

Assistant Professor

Department of Surgery

McMaster University

Hamilton, Ontario

Canada

Раскрытие информации

HJ declares that he has no competing interests.

Выражение благодарностей

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

Раскрытие информации

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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