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OrthoVellum

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Trauma
intermediate
X-Type

Femoral Neck Fractures

Hip Fractures

A 78-year-old woman with well-controlled hypertension presents after a fall from standing. She has severe hip pain and cannot weight bear. Her leg is shortened and externally rotated. Radiographs show a displaced intracapsular femoral neck fracture. She was independently mobile with a walking stick prior to injury and lives in her own home with her husband. Her mental status is intact. Regarding femoral neck fractures:

Mark each as TRUE or FALSE

A

Femoral neck fractures are intracapsular and have a tenuous blood supply from the medial femoral cir...

B

For displaced fractures in elderly patients (typically greater than 60-70 years), arthroplasty is pr...

C

Femoral neck fractures are extracapsular; the lateral femoral circumflex artery is the primary blood...

D

For young patients with femoral neck fractures (typically less than 60 years), internal fixation is ...

E

Time to surgery matters: current guidelines recommend surgery within 24-48 hours when medically opti...

Answer the questions to see explanations

Click T (True) or F (False) for each option