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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

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.

Femur highlighted on the Durgical 3D model