A hip fracture is a break in the thigh bone just below the hip joint. The hip joint consists of a ball at the top of the thigh bone and a rounded socket in the pelvis. Most hip fractures occur 1-2 inches below the ball portion of the hip.
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A hip fracture is caused by a trauma to the bone. Fractures in young people with healthy bones are cause by major trauma. Fractures in older adults or people with conditions that lead to weakened bones may be caused by minor trauma.
Factors that increase the risk of fracture in people with healthy bones include: Motor vehicle accidents and other types of major traumaSporting activity that places excess stress on the hip—can lead to stress fractures (rare)
Women are more likely than men to fracture their hips, especially after menopause. It is more common in older adults. Other factors that increase the risk of hip fractures include: Previous hip fracture or history of fallingFamily history of fractures later in lifeSmall-boned, slender body—low body weight
Factors that can weaken bone and increase the risk of fractures include: Osteoporosis
—a bone-thinning condition that weakens all bones
Poor nutritionDeficient intake or absorption of calcium and vitamin DPhysical inactivitySmokingKidney diseaseCortisone or other steroidsThyroid disorderLow testosterone in menBone conditions such as osteomalacia—rareBone tumors—rare
Factors that increase the risk of falls that can lead to fractures include: WeaknessPoor balance and coordination
Irregular heart beat or low blood pressureChronic disease or fragile healthDiabetesArthritisParkinson disease
strokeProblems with visionHeart failure
Mental impairments including
Alzheimer diseaseCertain medications which cause lightheadedness, drowsiness, or weakness
A hip fracture may cause: Pain in the hipDifficulty or inability to stand, walk, or move the hip
Abnormal appearance of the broken leg:
Looks shorterTurns outward
You will be asked about your symptoms and how the injury occurred. A physical exam will be done.
Images may be taken of your bones. This can be done with: X-rayMRI scanCT scanBone scan
Talk with your doctor about the best treatment plan for you. Options include:
Surgery is needed for most hip fractures to make sure the hip heals properly. Surgery will also allow you to move about as you recover. However, surgery may not be appropriate for some people with small fractures or poor overall health. These fractures will be monitored as they heal with imaging tests. Traction may also be used to hold the leg in the appropriate place while the bone heals.
The type of surgery will depend on what part of the hip bone was broken, how severe the fracture was and the overall health of your bone. Surgical options include: Insertion of surgical plates and screws to realign the bones and/or support the fractured area. The bone will be able to heal more securely.Hip replacement—damaged areas of bone are removed and metal devices are inserted in their place. This surgery is reserved for those with severe bone injury or disease. It is more common in older adults.
Your doctor may recommend assistive devices such as wheelchair, cane, or walker for your recovery and rehabilitation.
A physical therapist will assess the hip fracture. An exercise program will be created to help recovery and to strengthen the muscles.
Major trauma is typically caused by accidents and hard to avoid.
Talk to your doctor if you have
or are at risk for osteoporosis. Medications, dietary changes, and weight bearing activities may help slow bone loss.
To reduce the risk of falls: Ask your doctor if any of your medications may contribute to bone loss or symptoms of lightheadedness, drowsiness, or confusion.Get your eyes checked regularly.Clean spills and slippery areas right away.Remove tripping hazards such as loose cords, rugs, and clutter.Use non-slip mats in the bathtub and shower.Install grab bars next to the toilet and in the shower or tub.Put in handrails on both sides of stairways.Walk only in well-lit rooms, stairs, and halls.Keep flashlights on hand in case of a power outage.
Hip fracture prevention.
Ortho Info—American Academy of Orthopaedic Surgeons website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=A00309. Updated January 2013. Accessed February 11, 2016.
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http://www.dynamed.com/topics/dmp~AN~T116789/Hip-fracture: Ward RJ, Weissman BN, et al. ACR Appropriateness Criteria for acute hip pain: suspected fracture. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/AcuteHipPainSuspectedFracture.pdf. Published 2013. Accessed February 11, 2016.
Last reviewed February 2016 by Warren A. Bodine, DO, CAQSM
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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