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Fratura do quadril

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 16 Aug 2025
Last updated: 21 Aug 2025

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • incapacidade de levantar peso
  • dor na perna/quadril afetado
  • dor com movimento do quadril
Full details

Other diagnostic factors

  • perna encurtada e rotacionada externamente
Full details

Risk factors

  • osteoporose/osteopenia
  • idade superior a 65 anos
  • quedas
  • índice de massa corporal baixo
  • sexo feminino
  • trauma de alta energia
  • medicações
  • etnia
  • demência
Full details

Diagnostic investigations

1st investigations to order

  • radiografias simples
Full details

Investigations to consider

  • RNM da pelve (sem contraste)
  • TC da pelve (sem contraste)
Full details

Treatment algorithm

ACUTE

fratura intracapsular (colo do fêmur)

fratura extracapsular (intertrocantérica)

Contributors

Authors

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.

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.

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. Dec 2021 [internet publication].Full text

American College of Radiology. ACR appropriateness criteria: acute hip pain. 2024 [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.
  • Fratura do quadril images

  • Differentials

    • Fratura do acetábulo
    • Fratura nos ramos púbicos
    • Fratura na haste femoral ou no fêmur subtrocantérico
    More Differentials

  • Guidelines

    • ACR appropriateness criteria: acute hip pain
    • Hip fracture: management
    More Guidelines

  • Patient information

    Osteoporose: o que é?

    More Patient information
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