Introduction:

Classification

https://doi.org/10.1186/s40001-021-00556-0

Anatomical classification:

![Bony and vascular anatomy of the proximal femur

Fischer, H., Maleitzke, T., Eder, C. et al. Management of proximal femur fractures in the elderly: current concepts and treatment options. Eur J Med Res 26, 86 (2021). https://doi.org/10.1186/s40001-021-00556-0](attachment:557ce9b5-3cff-4587-b22b-c4b5105fc9a7:40001_2021_556_Fig1_HTML.webp)

Bony and vascular anatomy of the proximal femur

Garden classification

![The Garden classification of non-displaced (Garden type I and II) and displaced (Garden type III and IV) femoral neck fractures. Incomplete or impacted fractures, including a valgus dislocation, are classified as type I. If neither impaction nor dislocation occurs, the fracture is classified as type II. Type III refers to a dislocated fracture with existing bony contact in the calcar femoris region, including the retinacula of Weitbrecht being still intact [77]. Type IV indicates a complete disassociation of the femoral head from capsule and vessels. A higher dislocation grade is associated with a higher probability of disruption of the femoral neck’s blood supply

Fischer, H., Maleitzke, T., Eder, C. et al. Management of proximal femur fractures in the elderly: current concepts and treatment options. Eur J Med Res 26, 86 (2021). https://doi.org/10.1186/s40001-021-00556-0](attachment:43f80eaa-c8bd-4f18-8157-4ea04a0eaef0:40001_2021_556_Fig2_HTML.webp)

The Garden classification of non-displaced (Garden type I and II) and displaced (Garden type III and IV) femoral neck fractures. Incomplete or impacted fractures, including a valgus dislocation, are classified as type I. If neither impaction nor dislocation occurs, the fracture is classified as type II. Type III refers to a dislocated fracture with existing bony contact in the calcar femoris region, including the retinacula of Weitbrecht being still intact [77]. Type IV indicates a complete disassociation of the femoral head from capsule and vessels. A higher dislocation grade is associated with a higher probability of disruption of the femoral neck’s blood supply

AO classification

![AO classification of femoral neck fractures. AO 31-B1 includes impacted fractures. With decreasing impaction from grade 1 to grade 3, B2 consists of a larger femoral head fragment with a fracture line increasing in slope from grade 1 to grade 3, and B3 describes a small head fragment with increasing dislocation and instability with increasing grade

Fischer, H., Maleitzke, T., Eder, C. et al. Management of proximal femur fractures in the elderly: current concepts and treatment options. Eur J Med Res 26, 86 (2021). https://doi.org/10.1186/s40001-021-00556-0](attachment:6cb95904-9ccd-4a7a-a5c8-d1e233aeea81:40001_2021_556_Fig3_HTML.webp)

AO classification of femoral neck fractures. AO 31-B1 includes impacted fractures. With decreasing impaction from grade 1 to grade 3, B2 consists of a larger femoral head fragment with a fracture line increasing in slope from grade 1 to grade 3, and B3 describes a small head fragment with increasing dislocation and instability with increasing grade

Management

Femoral neck fracture fixation. hip fracture examination , x rays , treatment and surgery

Treatment algorithm:

Arthroplasty (hip):

$A case of transcervical fracture of the neck of femur in a 38-year old male patient with a history of self-fall at home. The case underwent a successful hemiarthroplasty of the hip Surgeon: Dr Pulak Paul, Dr Imran // #SMCHCase$

A case of transcervical fracture of the neck of femur in a 38-year old male patient with a history of self-fall at home. The case underwent a successful hemiarthroplasty of the hip Surgeon: Dr Pulak Paul, Dr Imran // #SMCHCase