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Frequency. ~15% of women at some point [ 1] A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [ 2] Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. [ 2] Usually the person cannot walk.
The femoral head's surface is smooth. It is coated with cartilage in the fresh state, except over an ovoid depression, the fovea capitis, which is situated a little below and behind the center of the femoral head, and gives attachment to the ligament of head of femur . The thickest region of the articular cartilage is at the centre of the ...
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter; those are conventionally ...
Femoral head fractures are very rare fractures of the upper end (femoral head) of the thigh bone ().They are a very rare kind of hip fracture that may be the result of a fall like most hip fractures but are more commonly caused by more violent incidents such as traffic accidents They are categorized according to the Pipkin classification based on the following bone fracture patterns:
As the lateral portion is twisted like a screw, the two parts together take the form of an inverted Y. [4] [verification needed] Arising from the anterior inferior iliac spine and the rim of the acetabulum, the iliofemoral ligament spreads obliquely downwards and laterally to the intertrochanteric line on the anterior side of the femoral head.
Like any other acetabular fracture, if the femoral head is dislocated out of the socket, early reduction into socket is a priority. However, in this injury, non-operative treatment rarely gives satisfactory results. Surgical management is ideal. The choice of approach rests with the surgeon, but going from front, or anterior approach is must.
Intramedullary rod. An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body.
Dynamic hip screw (DHS) or Sliding Screw Fixation is a type of orthopaedic implant designed for fixation of certain types of hip fractures which allows controlled dynamic sliding of the femoral head component along the construct. [citation needed] It is the most commonly used implant for extracapsular fractures of the hip, [ 1] which are common ...