What Is a Radial Head Fracture?

Femoral head fractures are mostly caused by strong indirect violence and can occur alone, but more often are combined with hip dislocation. Anterior dislocation of the hip joint may be associated with fractures above the femoral head; posterior dislocation of the hip joint may be accompanied by fractures below and below the femoral head or fractures in the upper part of the head, and sometimes comminuted fractures of the femoral head are also seen.

Basic Information

English name

fracture of head of femur

Visiting department

orthopedics

Common locations

Femoral head

Common causes

Strong indirect violence

Common symptoms

Hip swelling, severe pain, severely restricted hip function due to pain

Causes of Femoral Head Fractures

Caused by indirect violence.

Clinical manifestations of femoral head fractures

The hip of the femoral head fracture patients had swelling and severe pain. The hip function was severely limited due to pain. Most of the fractures have hip joint injuries, so signs of posterior dislocation of the hip joint, flexion of the lower limbs, adduction, external rotation deformity, elastic fixation, shortening of the limbs, or signs of anterior dislocation of the hip joint can occur.

Femoral head fracture examination

Frontal and lateral X-rays can show fractures; CT and 3D image reconstruction can clarify the displacement of fractures.

Femoral head fracture diagnosis

Traumatic violence and a typical injury posture are helpful for diagnosis. All patients with hip dislocation should consider the possibility of combined femoral head fractures. Hip orthotopic radiography and three-dimensional reconstruction of CT and CT can help clear diagnosis.

Femoral head fracture treatment

Non-surgical treatment

Treatment of non-dislocation-type fractures: Traditional methods of traction of the affected limb for 4 to 6 weeks are generally used. Due to the possibility of misalignment at an early stage, it has recently tended to be an early internal fixation therapy.

2. Surgical treatment

Artificial femoral head replacement is mainly applicable to patients with unhealed femoral head fractures or ischemic necrosis of the femoral head. The advantage is that the affected limb can be used early without the problem of fracture nonunion; its disadvantage is that there are many complications, such as infection, loosening, sinking, or penetration into the pelvis. And the longer the time, the more complications, and generally not suitable for young patients.

3. Hip dislocation

Often coexisting with femoral head fractures, you should also pay attention to the presence of acetabular fractures in the treatment of hip dislocations, which need to be treated together.