Femoral head fracture
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Femoral Head Fracture
A Femoral head fracture is a type of bone fracture that occurs in the femur or thigh bone, specifically at the ball-shaped head of the femur that fits into the hip socket. This type of fracture is often associated with hip dislocation and is considered a serious orthopedic injury due to its potential to disrupt blood supply to the femoral head, leading to avascular necrosis.
Causes
Femoral head fractures are typically caused by high-energy trauma, such as motor vehicle accidents, falls from significant heights, or severe blows to the hip area. They are less common in low-energy trauma, such as simple falls in the elderly, but can occur in individuals with weakened bone structure due to conditions like osteoporosis.
Diagnosis
Diagnosis of a femoral head fracture is typically made through a combination of physical examination, patient history, and imaging studies. X-ray imaging is often the first step, but CT scans and MRIs may also be used to provide more detailed images of the fracture and surrounding structures.
Treatment
Treatment for femoral head fractures depends on the severity of the fracture and the patient's overall health. Non-surgical treatment options may include physical therapy, pain management, and use of assistive devices like crutches. However, most femoral head fractures require surgical intervention, such as hip arthroplasty or hip replacement, to restore function and prevent complications.
Complications
Potential complications of femoral head fractures include avascular necrosis, hip osteoarthritis, and post-traumatic arthritis. These complications can lead to long-term disability and may require additional treatment or surgery.
See Also
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Contributors: Prab R. Tumpati, MD