Aetiology
The base of neck of femur fracture is caused by a direct or indirect force applied to the hip joint, either from a fall, trauma or an underlying medical condition.
Diagnosis
Diagnosis of a fracture of the base of the neck of the femur is made by physical examination and imaging tests such as x-rays, CT scans and MRI scans.
Differential diagnosis
Other conditions such as avascular necrosis of the femoral head, osteoarthritis, hip dislocation, and labral tear must be ruled out.
Treatment
The treatment depends on the severity of the fracture. Non-surgical treatments such as bed rest and medications may be used for mild fractures. Surgical treatments such as fixation with pins, plates and screws may be used for more severe fractures.
Prognosis
The prognosis of a fracture of the base of the neck of the femur depends on the severity of the fracture and the age of the patient. Generally, recovery is expected to take up to 12 weeks, but may take longer depending on the treatment chosen.