Femoral Neck Fracture !
A femoral neck fracture is a break just below the ball of the hip, common in older adults after a fall; it can cut the blood supply to the head.
Updated 2026-10-23
Structures involved
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In histology
Why it happens
What it is
Break in the neck of the femur, common in older adults after a fall, and in younger people after high-energy trauma.
Causes
- Low-energy fall in osteoporotic bone
- High-energy trauma
Risk factors
- Osteoporosis
- Older age
- Female sex
- Falls
Symptoms and signs
- Inability to bear weight
- Shortened and externally rotated leg
- Groin or thigh pain
Diagnosis
- Clinical
- Exam and inability to walk
- Imaging
- X-ray; CT or MRI if occult
Treatment
- Surgical
- Fixation or hip replacement depending on displacement, age, and bone quality.
Complications
- Avascular necrosis of the femoral head
- Nonunion
- Increased mortality in older adults
Related conditions
- Deep vein thrombosis
- Intertrochanteric hip fracture
- Femoral shaft fracture
- Hip dislocation
- Avascular necrosis of the femoral head
- Osteoporotic vertebral compression fracture
- Osteoporosis
Educational information, not medical advice. For any symptom, see a health professional.
Sources: Femoral Neck Fractures (StatPearls (NCBI Bookshelf), 2024).
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Representative model, for educational purposes only.