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Date of Award

Spring 2023

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Lisa D'Amato, MSPAS, PA-C

Abstract

Femoral neck fractures are among the most common injuries in adults over 65 years. These fractures can be caused by high-impact trauma, such as motor vehicle accidents, or low-impact trauma, such as falls. A thorough history, physical examination, and imaging are key factors for developing assessment plans. The Garden, Pauwels, and AO classifications can help determine the severity and location of the fracture, as well as whether surgical intervention is necessary. While conservative methods may be used for some fractures, internal fixation with cannulated or sliding hip screws and arthroplasty are common surgical methods for severe fractures. Delayed management could lead to nonunion or avascular necrosis, and ultimately result in a decreased quality of life and higher mortality rate. This article provides an overview of the diagnosis and treatment of femoral neck fractures, to facilitate appropriate decision-making and ultimately improve patient outcomes.

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Approach to Management of Femoral Neck Fractures

Femoral neck fractures are among the most common injuries in adults over 65 years. These fractures can be caused by high-impact trauma, such as motor vehicle accidents, or low-impact trauma, such as falls. A thorough history, physical examination, and imaging are key factors for developing assessment plans. The Garden, Pauwels, and AO classifications can help determine the severity and location of the fracture, as well as whether surgical intervention is necessary. While conservative methods may be used for some fractures, internal fixation with cannulated or sliding hip screws and arthroplasty are common surgical methods for severe fractures. Delayed management could lead to nonunion or avascular necrosis, and ultimately result in a decreased quality of life and higher mortality rate. This article provides an overview of the diagnosis and treatment of femoral neck fractures, to facilitate appropriate decision-making and ultimately improve patient outcomes.