Varus impacted intracapsular hip fractures.
We describe a distinct variant of an impacted intracapsular hip fracture that is difficult to classify within any of the current fracture classification systems. Instead of impaction occurring laterally, as generally occurs with a Garden grade I fracture, there is medial impaction. We have termed this a varus impacted fracture. Nineteen such fractures were identified. The majority of these patients presented with a history of progressive hip pain over several days without a definite history of trauma. For the 16 fractures treated by internal fixation without any attempt at fracture reduction, fracture healing occurred in 11 cases.
Damany
D S
DS
Trauma and Orthopaedics, University of Warwick, University Hospitals of Coventry and Warwickshire, Warwickshire, UK. deven@damany.freeserve.co.uk
Parker
Martyn J
MJ
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000145:classification* / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011859:Radiography