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Hip fracture


A hip fracture or broken hip is unfortunately a common injury in older Australians. Risk factors for broken hip increase with age as our bones become weaker and more prone to damage. 


 

In this article


 

What is a hip fracture?

Hip fractures usually occur in the upper femur (thigh bone). Hip fractures can also involve the intertrochanteric region, the part of your upper femur that sticks out from the hip.

The hip joint is a ball and socket joint. The top of the thigh bone or femur is shaped like a ball and fits neatly into the cup of the acetabelum (pelvis). The hip joint is relatively stable and has a wide range of movement.  


 

What causes hip fracture?

A broken hip is usually caused by a fall or direct injury. However, many factors can increase the risk of falls and broken hip in older people. Conditions such as osteoporosis cause the bones to become frail and brittle. For someone with osteoporosis a small trip can result in a broken hip.

Loss of vision, poor balance, certain medications and environmental factors can also increase the risk of a broken hip in older people.

Many older people fall and are hospitalised for broken hip every year and although a broken hip is manageable a hip fracture can lead to serious disability, post operative complications and in some cases death.


 

Hip fracture symptoms

Symptoms of hip fracture will depend on the extent of the injury.  Some people with weakened bones can experience aching in the thigh or groin some time before the break.

Signs of a broken hip or hip fracture include:
    •    Pain in the outer upper thigh or groin
    •    Difficulty and discomfort flexing or rotating the hip
    •    The affected leg will appear shorter and rotate outwards
    •    Stiffness, bruising, swelling around hip area
    •    Unable to place weight on hip 

Source (American Academy of Orthopeadic Surgeons 2009).

If a loved one falls and has any signs of broken hip seek medical help immediately by calling 000.


 

Diagnosis of hip fracture

Diagnosis of hip fracture will be made after an xray. An xray will determine the location and type of fracture. If a fracture cannot be seen on an xray a doctor may take an MRI, CT or bone scan.

Types of broken hip

There are different types of hip fractures. Hip fractures are classified according to the location and the severity of the fracture at the upper femur.

Fractures of the hip can involve different parts of the femur (thigh bone) and hip joint. Generally hip fractures occur at the head of the femur or "ball" but they can also involve the hip joint or "socket". 


 

Hip fracture surgery

Surgery is the treatment of choice for most broken hips. The type of surgery used to treat hip fracture will depend on the type and extent of the hip fracture. Surgery for broken hip will in most cases be as soon as possible.

Before surgery other factors including the person's age, general health and existing medical conditions will be taken into account. If a person is healthy and mobile before a hip fracture the outcome of surgery is generally more successful.
 
Surgery may include inserting metal screws to stabilise and heal a fracture. A partial hip replacement is where a prosthesis is implanted in the joint to replace broken bone at the head and neck of the femur. A total hip replacement is where both the ball and socket, or head of the femur and acetabulum is replaced with a prosthesis.

In some cases treatment of broken hip is not recommended. Non- surgical treatment of broken hip may be advised in older people who were confined to bed previous to their injury or too ill to undergo surgery. This may include people with late stage dementia or people who have a high likelihood of post operative complications. 


 

Complications of hip fracture

Many people are surprised when they are encouraged after hip surgery to mobilise early on. It is important for a person to regain strength and mobility a soon as possible after a broken hip. Older people with multiple medical conditions are at risk of numerous post operative complications. These include bedsores, pneumonia, blood clots and infection.

The experience of broken hip surgery and simply being immobile can be very painful. Extended periods of bedrest can eventually lead to muscle wastage. Some people will need constant reassurance and support especially if they are fearful of falling again.

Medications will help your loved one cope with the pain. Side effects of pain medications can include constipation and increased confusion. 

Recovering from hip fracture can be slow and complex but with good care over time many older people regain their independence. 


 

 

Related articles


 

References

American Academy of Orthopaedic Surgeons
Hip Fractures
Accessed 31/04/09

American Academy of Orthopaedic Surgeons
Total Hip Replacement
Accessed 31/04/09
 

 

2 comments

adobe acrobat xi pro serial number wrote 1 week 6 days ago
I usually do not leave a comment, however I looked at a feww of the responses heree Fractures: Hipp fracture, symptoms, hip surgery, hip replacement | Aged Carer. I do have a couple of questions for you if you don't mind. Is it just me or do a few of thee comments look like they are left by brain dead people? :-P And, if you are posting on other social sites, I'd like to follkow everything fresh you have to post. Would you make a list of all of all yoour scial networking pages like your linkedin profile, Facebook page or twitter feed?
Saad wrote 2 years 6 weeks ago
i was diagnosed with a iolcmpnete stress fracture of the femoral neck in July 2009, i had pain through running weeks prior to being diagnosed, i was runnng has a hobby just for fitness for myself and to help with stanima when showing my dogs, i went to the doctors in June and she sent me away with ibufren for a strain and told me to rest, which i did, then after a few weeks i run again, and again the pain returned in my groin, i ran again the weekend after at a dog show, this time after the class i broke down and was unable to put my leg on the ground at all i was in total agony, the next morning in pain i came straight to my computer and put in the symptoms, which came up STRESS FRACTURE!!! i went back to the doctor on the same morning but a different doctor and told him, what had been happening, he sent me straight away for a x-ray, which i had and nothing showed up, i told him nothing may show up if it was a stress fracture, i was given crutches unti my x-ray came back, and guess what nothing showed up, i then told the doctor i was in lots of pain and something wasn't right, he then sent me for a MRI scan which took 1 month before i could be see for the scanned, so by this time 6 weeks had already past by, it also took a further 10 more days for my MRI scan results to come through to my doctors surgery, and as i had guessed i had a substantial iolcmpnete fracture of the femoral neck, my doctors face was a picture, he looked at me has if to say how did you know! i know my body and i wasn't being put of this time with ibufren, i went to see a ortherpedic surgeon and i am stil on crutches 4 months down the line, we took a x-ray about 2 weeks ago and it now shows up the fracture which is on the under side and all the way across, i have been taking calcium and Vit D and it has shown on the x-ray this time with new bone growth, so we are going to stay with the crutches till the 20th November, then we will take another x-ray to see how it is progressing and maybe to start some theraphy if its looking better.I cannot wait to start to jog a little again its driving me mad i am a very active person, now doing nothing!!! So i no how you all feel.

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