Femoral Neck Fracture

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Femoral neck fractures also result from falls, especially in elderly and osteoporotic females. They are associated with radial and humeral fractures. The Garden classification is widely used to categorize these fractures. Garden I is an incomplete fracture through the femoral neck while with Garden II, the fracture is complete. With Garden III fractures, there is impaction, and with Garden IV, the femoral neck is superiorly migrated relative to the femoral head. Garden IV fractures have the highest risk of avascular necrosis.
 - Click on the image for a larger versionAAP view reveals a Garden II fracture of the left hip.
 - Click on the image for a larger versionBLateral view of a Garden II fracture.
 - Click on the image for a larger versionCAP view of a Garden IV fracture of the femoral neck.
 - Click on the image for a larger versionDLateral view of a Garden IV fracture.

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