Hip Fracture
What is a Hip Fracture?
A hip fracture is a break in the proximal femur, commonly occurring in older adults, often as a result of a fall.
- Can involve the femoral neck or intertrochanteric region
- Often associated with osteoporosis
Overview of the Condition
Hip fractures require prompt evaluation and treatment to prevent complications such as immobility and further injury.
Symptoms
- Severe hip or groin pain
- Inability to bear weight on the affected leg
- Shortening or external rotation of the leg
Causes
Most hip fractures result from falls, especially in the elderly, and are often linked to osteoporosis.
Diagnosis
Diagnosis is confirmed via clinical assessment and imaging studies such as X-rays or CT scans.
Treatment Options
- Non-surgical management (rare, for non-displaced fractures)
- Surgical fixation using screws, plates, or hip replacement
- Postoperative rehabilitation
Conservative Management
Immobilization with a brace or traction may be considered for very stable, non-displaced fractures.
Rehabilitation Exercises
- Gentle range-of-motion exercises post-cast removal
- Progressive weight-bearing exercises
- Strengthening and balance training
Surgical Options
Surgical intervention is common and may include internal fixation or hip replacement depending on fracture type and patient factors.
Anatomy Overview
Hip fractures most commonly involve the femoral neck or intertrochanteric region of the proximal femur.
Affected Areas
- Proximal femur
- Hip joint
Frequently Asked Questions
| Question | Answer |
|---|---|
| What is the recovery time? | Recovery can range from several months to a year depending on the patient's overall health. |
| Is surgery always required? | Most hip fractures are treated surgically to allow early mobilization. |
Prevention Strategies
- Improve bone density with proper nutrition and exercise
- Implement fall-prevention strategies at home
- Regular screening for osteoporosis in high-risk individuals