Hip Fracture

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.

  • Causes

    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.

  • Definition

    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.

    Hip Fracture
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  • Diagnosis

    The doctor will ask 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-ray
    • MRI scan
    • CT scan
    • Bone scan

  • Prevention

    Major trauma is typically caused by accidents and hard to avoid.

    Talk to your doctor if you have osteoporosis 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.

  • Risk Factors

    Factors that increase the risk of fracture in people with healthy bones include:

    • Motor vehicle accidents and other types of major trauma
    • Sporting activity that places excess stress on the hip—can lead to stress fractures (rare)

    Women are more likey than men to fracture their hips especially after menopause. Other factors that increase the risk of hip fractures include:

    • Previous hip fracture or history of falling
    • Age: 65 years or older
    • Family history of fractures later in life
    • Small-boned, slender body—low body weight

    Factors that can weaken bone and increase risk of fractures include:

    • Osteoporosis—a bone-thinning condition that weakens all bones
    • Poor nutrition
    • Deficient intake or absorption of calcium and vitamin D
    • Physical inactivity
    • Smoking
    • Kidney disease
    • Cortisone or other steroids
    • Thyroid disorder
    • Low testosterone in men
    • Bone conditions such as osteomalacia—rare
    • Bone tumors—rare

    Factors that increase the risk of falls that can lead to fractures include:

    • Weakness
    • Poor balance and coordination
    • Excessive alcohol use
    • Irregular heart beat or low blood pressure
    • Chronic disease or fragile health
    • Diabetes
    • Arthritis
    • Parkinson's disease
    • History of stroke
    • Problems with vision
    • Heart failure
    • Mental impairments including Alzheimer’s disease
    • Certain medications which cause lightheadedness, drowsiness, or weakness

  • Symptoms

    A hip fracture may cause:

    • Pain in the hip
    • Difficulty or inability to stand, walk, or move the hip
    • Abnormal appearance of the broken leg:

      • Looks shorter
      • Turns outward

  • Treatment

    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.

    Rehabilitation will be needed as you heal to help you regain muscle strength and balance.