2024年9月26日 · Neck of femur (NOF) fractures, or femoral neck fractures, are common injuries sustained by older patients who are more likely to have both unsteadiness of gait and reduced bone mineral density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.

2020年12月14日 · Neck of femur (NOF) fractures typically occur in the elderly, with a predominance for women (4:1). However, they can occur in young patients as a result of high-energy trauma. In 2011, approximately 80,000 hip fractures were treated in the United Kingdom. This number is expected to increase to over 100,000 by 2020. 1,2.

2023年4月20日 · In this article, we will look at the classification, anatomy, clinical and radiological features, and management of neck of femur fractures. Neck of femur (NOF) fractures can occur anywhere from the subcapital region of the femoral head to 5cm distal to the lesser trochanter (Fig. 1). Figure 1 – The bony landmarks of the anterior proximal femur.

Garden splits into four categories depending on the severity of the fracture and the degree of displacement. The fractures are graded, depending on the type, pattern and whether or not there is displacement of the bone: Type I is an incomplete fracture or valgus impacted fracture. Type II is a complete fracture without displacement.

The terms hip fracture and femoral neck fracture both relate to the same type of injury. Both terms describe a fracture of the proximal femur between the femoral head and 5 cm distal to the lesser trochanter. A hip fracture occurs just below the head of femur (HOF), the region of the femur called the femoral neck.

These injuries may be correctly termed fractures of the 'neck of femur' (NOF). The Garden classification system is a traditional means of assessing severity of neck of femur fractures. The system broadly corresponds with prognosis - the more displaced, the more likely the blood supply to the femoral head is compromised.

2022年2月21日 · fracture NOF is a common ED presentation and timely recognition, analgesia, referral, ward admission for previon of decubitis ulcers, and care of comorbidities are required to ensure early surgery (preferably within 36 hours) which is required if one wishes to avoid increased risk of morbidity or mortality.

Type 1 - transepiphyseal separation / fracture - rarest - associated with hip dislocation - AVN 100% . Type 2 - transcervical fracture - commonest 50% - AVN 50% . Type 3 - basicervical - second most common 30% - AVN 30% . Type 4 - intertrochanteric fracture - AVN 10% . Management . Type I . Undisplaced . Rare situation

NOF fracture refers to a fracture of the femur within 5cm of the greater trochanter. They can be classified in several ways, with the most common being based on the anatomical location of the fracture: Intracapsular fractures occur between the femoral head and the insertion point account for around 50% of NOF fractures.

2021年3月5日 · The risk factors for a fractured NOF can simplistically be divided into: Falls; Osteoporosis; Note however that there are some things, such as alcohol or immobility, which may be risk factors for both. Osteoporosis can be classified as: Primary Type 1 (post menopausal) Type 2 (senile) age-related osteoporosis which occurs in males and females ...