The x-ray will also help your doctor determine the grade of the injury, which will then guide treatment.ĭisplaced femoral neck fractures, as well as some nondisplaced femoral neck fractures, require surgical treatment by an orthopedic surgeon. This test is able to pick up early stress fractures or small, incomplete traumatic fractures. If your doctor suspects a femoral neck fracture but doesn’t see it on the x-ray, he/she may follow up with a magnetic resonance imaging (MRI) scan. If you have a femoral neck fracture, it will usually come up on an x-ray. In order to make a diagnosis, your doctor will order an x-ray of your hip. He/she will have you try to put your weight on the injured side, as well as rotate your leg to get a sense of your range of motion and where you feel pain. Your doctor will ask you about your symptoms and examine your hip. Because femoral neck fractures can cause a loss of blood flow to the femoral head, or avascular necrosis, early evaluation and treatment are essential. If you have insidious and progressive groin pain and pain with weight bearing on one side, make an appointment to see your doctor right away, so that he/she can determine whether you may have a femoral neck stress fracture. You will need assistance getting to a medical facility. Don’t attempt to walk or put weight on the injured side. If you experience a severe injury on the field and can’t bear weight on your hip, prompt medical attention is necessary. However, without appropriate care, these fractures can become displaced over time. In the early stages, stress fractures of the femoral neck are usually nondisplaced (Garden I or Garden II). Garden IV: Complete fracture in which the broken ends of the bone have moved substantially and don’t line up, called a severely displaced fracture.ĭisplaced fractures (Garden III and Garden IV) are most common with acute injuries.Garden III: Complete fracture in which the broken ends of the bone have moved out of place but only only partially, considered a slightly to moderately displaced fracture.Garden II: Complete fracture in which the bone hasn’t moved out of place, called a nondisplaced fracture.Garden I: Partial fracture in which the femoral neck hasn’t been broken through completely.This can cause severe, lasting disability and even lead to the need for a total hip replacement.įemoral neck fractures are classified into four grades of severity using the “Garden” system: If a femoral neck fracture is left untreated, an interruption of blood flow to the femoral head can occur (called avascular necrosis). Either way, femoral neck fractures require prompt medical attention. This part of the femur can break (fracture) either due to repetitive stresses or from a collision injury on the field. The femur bone also has a short, narrower section that connects the femoral head to the femoral shaft, called the femoral neck. The long part of your femur bone, which spans your upper leg, is called the femoral shaft. The top part of the femur, called the femoral head, has a rounded ball shape that fits into a socket in the pelvis to form the “ball-and-socket” hip joint. The femur is the largest bone in your body, extending from the hip joint to the knee joint.
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