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Conditions

Orthopaedics · Bones, joints and movement

Hip fracture

Recognise this serious fracture and understand hospital treatment and rehabilitation.

Editorial publication · Medical review pending.

Understand

A hip fracture is a break in the upper part of the thigh bone near the hip joint.

Possible symptoms

Hip, groin or upper-leg pain, inability to bear weight, difficulty moving, a shortened or turned leg and bruising may occur.

Causes and associated factors

It often follows a fall, especially in older people or those with osteoporosis, while major trauma can cause it at any age.

Diagnosis

The history, examination and inability to bear weight raise suspicion and help assess the person’s general condition.

Tests

X-rays usually confirm the diagnosis; MRI or CT may detect a fracture not seen on the first image.

Course of the condition

Healing takes weeks or months, and previous strength or independence is not always fully regained.

Care options

Hospital care includes pain relief, usually prompt surgery, then mobilisation, complication prevention and rehabilitation.

When to consult

Any significant hip pain after a fall, especially with difficulty walking, needs immediate assessment.

Urgent help

Call emergency services for severe pain after a fall, inability to get up or bear weight, or loss of feeling in the leg.

Questions for your doctor

  • Which structure explains my symptoms?
  • Which tests are genuinely useful?
  • Which non-surgical options can we try?
  • When would an operation be appropriate?
  • Which signs require urgent assessment?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

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