What is femoral neck fracture?


Know the basics

What is femoral neck fracture?

A femoral neck fracture is a break of the thigh bone (femur) at the hip. The hip joint is a ball-and socket joint. The break occurs at the neck, which is the part just below the ball. The blood supply to the broken bone is often interrupted, so these fractures have trouble healing. Most people do have a complete recovery after surgery.

How common is femoral neck fracture?

Older people, especially women are at a higher risk of femoral fracture because bones tend to weaken with age (osteoporosis). If thigh bones are thin and weak enough, even twisting and can lead to fractures. Up to 25% of women over 75 years of age have severe osteoporosis that lead to femoral neck  fracture.

Know the symptoms

What are the symptoms of femoral neck fracture?

Symptoms of hip fracture are pain in the hip, buttock, or public area, especially with movement of the hip or leg. The affected leg is shorter than the other leg, and the foot turns in. Later, bruising on the hip, especially, in thin people, can be seen.

There may be some signs or symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.

When should I see my doctor?

If you are a severe injured or notice the symptoms listed above, or have the feeling fracture, you should go see a doctor. Although femoral neck fracture is difficult to healed, this condition can recover completely if you conduct a surgeon. You should also call doctor if having any problems below:

  • Having increasing pain in your hip after surgery. This pain could mean infection, bleeding, or loosening of the hip replacement or screws.
  • Having trouble walking. It can be a sign of loosening of the hip replacement.
  • Having symptoms of infection, such as fever or swelling or redness of incision line.

Know the causes

What causes femoral neck fracture?

The cause of hip fracture can be a severe fall or a auto accident. If the bones’ condition is weak enough, even twisting can break the bone.

Know the risk factors

What increases my risk for femoral neck fracture?

There are many risk factor for hip fracture include:

  • Aging: the rate of hip fractures increases substantially with age, due to decreased bone density and muscle mass and problems with vision and balance, which can cause you to fall
  • Your sex. About 70 percent of hip fractures occur in women. Women lose bone density at a faster rate than men do, in part because the drop in estrogen levels that occurs with menopause accelerates bone loss. However, men also can develop dangerously low levels of bone density.
  • Chronic medical conditions. Endocrine disorders, such as an overactive thyroid, can lead to fragile bones. Intestinal disorders, which may reduce your absorption of vitamin D and calcium, also can lead to weakened bone and hip fracture. Cognitive impairment also increases the risk of falling.
  • Certain medications. Cortisone medications, such as prednisone, can weaken bone if you take them long term. Certain drugs or certain combinations of medications can make you dizzy and more prone to falling.
  • Nutritional problems. Lack of calcium and vitamin D in your diet when you’re young lowers your peak bone mass and increases your risk of fracture later in life. Serious eating disorders, such as anorexia nervosa and bulimia, can damage your skeleton by depriving your body of essential nutrients needed for bone building.
  • Physical inactivity. Weight-bearing exercises, such as walking, help strengthen bones and muscles, making falls and fractures less likely. If you don’t regularly participate in weight-bearing exercise, you may have lower bone density and weaker bones.
  • Tobacco and alcohol use. Both can interfere with the normal processes of bone building and maintenance, resulting in bone loss.

Understand the diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is femoral neck fracture diagnosed?

Your doctor commonly makes a diagnosis from physical examination. In some cases, if the symptoms isn’t clear easily confused with other diseases, your doctor will ask you to take X-rays. An X-ray will confirm that you have a fracture and show exactly where the fracture is on your bone.

How is femoral neck fracture treated?

Treatment of hip fracture is nearly always surgical. In surgery, pins can be placed across the fracture, or metal plates and screws can be used to hold bone fragments together. Other choices include replacing the ball of the joint with a metal one, and replacing both the socket and the ball. Sometimes, surgery doesn’t make the joint stable, usually because the bone that’s left is too thin.

For people who are very sick, treatment may be bed rest to try to let the fracture heal.

The best ways to prevent hip fractures are to prevent and treat osteoporosis with diet, exercise, and medicine. Also, make sure that the home environment is safe.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage femoral neck fracture?

The following lifestyles and home remedies might help you cope with hip fracture :

  • Take medicines as prescribed and follow your doctor’s instructions
  • Use pain medicines to help recovery
  • Eat a good diet to provide protein and calcium. This will help the bone to heal.
  • Your exercises in the form of physical therapy. They’re important for recovery from surgery.
  • Reduce chances of falls in the home. Use good lighting and avoid tripping hazards such as loose rugs and poor fitting shoes.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: May 30, 2016 | Last Modified: January 4, 2017

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