Intracapsular Fractures of the Neck of the Femur

Abstract

The Diagnosis of Ischaemia of the Capital Fragment in Femoral Neck Fractures.

Internal fixation of fragility fracturesof the femoral neck

“…Approximately one-third of all femoral neck fractures show little or no fracture displacement . Multifragmentation of the posterior femoral neck wall can be found in 14-50% of the displaced fractures (Klenerman andMarcuson 1970, Khan et al 2009). …”

“…Following minor trauma in old patients, subcapital fractures are most frequent (Klenerman and Marcuson 1970). These fractures initiate at the superior head-neck junction where the cortical shell is at its thinnest (Mayhew et al 2005).…”

“…These fractures initiate at the superior head-neck junction where the cortical shell is at its thinnest (Mayhew et al 2005). From there the fracture line moves in inferior direction following the old epiphyseal scar (Klenerman and Marcuson 1970). An inferior tongue of the strong inferior buttress is often attached to the proximal fragment (Garden 1961, Klenerman andMarcuson,1970).…”

“…These fractures are often referred to as transcervical fractures (Damany et al 2005). However, it appears that the incidence of true transcervical fractures is very low and that most of these fractures are actually subcapital fractures (Klenerman andMarcuson 1970, Keating 2010). Fractures close to the trochanteric region are referred to as lateral-, basicervical-or extracapsular femoral neck fractures and are rare fractures found in only two per cent of hip fracture cases (Saarenpaa et al 2002).…”

“…Most femoral neck fractures run along or within the epiphyseal plate separating the epiphysis (femoral head) from the proximal femoral metaphysis (Klenerman and Marcuson 1970). The epiphyseal plate itself is considered part of the metaphysis which follows the same principles of fracture healing as diaphyseal bone (Claes et al 2011).…”