Hip fractures

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Last reviewed: 30 Sep 2024
Last updated: 09 Oct 2024

Summary

Definition

History and exam

Key diagnostic factors

  • inability to bear weight
  • pain in affected leg/hip
  • pain with hip movement
Full details

Other diagnostic factors

  • shortened and externally rotated leg
Full details

Risk factors

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

Diagnostic tests

1st tests to order

  • plain x-rays
Full details

Tests to consider

  • MRI pelvis (without contrast)
  • CT pelvis (without contrast)
  • technetium bone scan
Full details

Treatment algorithm

ACUTE

intracapsular (femoral neck) fracture

extracapsular (intertrochanteric) fracture

Contributors

Expert advisers

Forest W. Arnold, DO, MSc, FIDSA

Professor of Medicine

Chief, Division of Infectious Diseases

Director Infectious Diseases Fellowship Training Program

Department of Medicine

School of Medicine

University of Louisville

Louisville

KY

Disclosures

FWA declares that he has no competing interests.

Peer reviewers

Krishna Sundar, MD, FCCP

Associate Professor (Clinical)

Department of Medicine

University of Utah

Director

Pulmonary and Critical Care Research

IHC Urban South

Utah Valley Pulmonary Clinic

UT

Disclosures

KS declares that he has no competing interests.

Ozan Akca, MD

Director of Research

Associate Professor

Department of Anesthesiology and Perioperative Medicine

Neuroscience and Anesthesia Intensive Care Unit

University of Louisville

Louisville

KY

Disclosures

OA declares that he has no competing interests.

  • Hip fractures images
  • Differentials

    • Acetabular fracture
    • Pubic rami fracture
    • Femoral shaft or subtrochanteric femur fracture
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  • Patient information

    Osteoporosis

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