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Trauma
intermediate
X-Type

Neck of Femur Fracture - Garden Classification and Management

Hip Fractures

A 78-year-old woman presents to the emergency department following a mechanical fall at home. She is unable to weight bear and has a shortened, externally rotated left leg. AP pelvis X-ray demonstrates a displaced intracapsular femoral neck fracture. She lives independently, walks outdoors with a stick, is cognitively intact (AMTS 10/10), and has well-controlled hypertension. Regarding the management of femoral neck fractures:

Mark each as TRUE or FALSE

A

The Garden classification divides femoral neck fractures into four types based on displacement; Gard...

B

The blood supply to the femoral head is primarily from the medial femoral circumflex artery (MFCA), ...

C

Total hip arthroplasty should be avoided in elderly patients with femoral neck fractures due to high...

D

For this patient with a displaced fracture who is cognitively intact, independently mobile, and has ...

E

Young patients (typically under 60 years) with displaced femoral neck fractures should undergo urgen...

Answer the questions to see explanations

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