Garden I femoral neck fracture

Case contributed by Stefan Tigges
Diagnosis certain


Fall with right hip pain and refusal to bear weight.

Patient Data

Age: 80 years
Gender: Female

Impacted non-displaced subcapital right femoral neck fracture with mild valgus angulation.


Intraoperative images before and after placement of 3 appropriately positioned cannulated hip screws.

Case Discussion

The weakest part of the femur is the femoral neck which is particularly prone to fracture in elderly osteoporotic patients. The Garden system is used to classify subcapital (just below the femoral head) femoral neck fractures: this impacted non-displaced neck fracture with mild valgus angulation is a Garden I injury. Non-displaced fractures are most often treated with cannulated hip screws while displaced fracures are often treated with arthroplasty.

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