Pipkin classification is the most commonly used classification for femoral head fractures , which are uncommon but are associated with hip dislocations . Stress fracture of the femoral neck is rare and often initially missed. The fracture itself usually occurs in the femoral neck at the base of the ball of the hip joint. Head Fractures: The Pipkin Classification.

Results will be worse if reduction is delayed for >12 hours. Type V – with fracture of the femoral head. A Femur stress fracture is a hairline fracture of the femur (thigh bone). 9 When assessing trainees’ physical fitness levels, both men and women with slower 1.5-mile run times demonstrated increased risk of femoral neck stress fracture (odds ratios of 3.24 and 1.32, respectively) than trainees with faster run times. Many of these can be "gross only". Femoral head fractures are rare and are typically seen with traumatic posterior hip dislocations. The femoral head stress fracture is a condition that has never been reported in children. Sometimes the fracture can occur in the bone of the pelvis adjacent to the hip and rarely in the femoral head (the ball of the hip joint).

Pipkin femoral head fracture classification Dr Francis Deng and Dr Patsy Robertson et al. 1 It is reported in elderly people and in recipients of renal transplants.

An MRI shows focal, intense marrow edema in … The femoral head is a common ditzel in surgical pathology at centres which have orthopaedic surgeons. 2.
Subchondral fracture of the femoral head is an uncommon entity and usually occurs as an insufficiency fracture associated with poor bone quality or as a fatigue fracture in young military recruits. A 27-year-old man with bilateral fatigue-type subchondral stress fracture of the femoral head. In Air Force basic trainees, Kupferer et al found that prevalence of femoral neck stress fracture was significantly higher in women than men. High-risk sites of stress fractures are locations at greatest risk of a progression to complete fracture, displacement or non-union. Introduction: The stress fracture of the femoral head rarely occurs; but, it is generally encountered in case of bone insufficiency, and it is exceptional in younger individuals. A stress fracture is more likely to occur after an increase in how far, how often, and how hard a person goes.

Women are up to 10 times more likely to develop fatigue fractures than men. D. Treatment 1.

Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures.. Radiographs show no evidence of a stress fracture, an alpha angle of 45 degrees, and a lateral center edge angle of 30 degrees. While only accounting for a small percentage of all stress fractures they are considered to be quite serious given the length of time required for recovery and tendency to require surgical fixation if not addressed early.

Pain may come on gradually as a dull ache, which intensifies if a bending force is applied to the femur.

Reduction a. There is likely to be pain when a bending force is applied to the femur. A stress fracture of the femoral neck traversing almost completely across the width of the bone. 4.1 Avascular necrosis of the femoral head; 4.2 Osteoarthritis; 4.3 Infection; 4.4 Rheumatoid arthritis; 4.5 Fracture of bone due to metastatic carcinoma.

Further investigations such as an X-ray, MRI, CT scan or bone scan are usually required to confirm diagnosis and determine the severity of injury. Femoral stress fracture, a fracture to the thighbone, is the fourth most common fracture in athletes and military recruits.

Introduction: Overview femoral head fractures are rare traumatic injuries that are usually associated with hip dislocations.

Hormonal changes may make women athletes' bones more likely to fracture. These include: superolateral femoral neck; anterior tibial cortex I NTRODUCTION. These sites are under tensile stresses and have poor vascularity. Diagnosis of a femoral stress fracture. Femoral Head Fracture. Stress fracture of the hip is an unusual condition that generally occurs in athletic individuals who begin or significantly increase running/other impact activity. Contents. Insufficiency fractures are the byproduct of insufficient bone structure resulting from disease, poor nutrition or osteoporosis. Chronic, repetitive activity that is common to runners and military recruits, predisposes these populations to femoral neck stress fractures. 1 Gross; 2 Criteria for gross only; 3 Diagnoses to consider; 4 Specific diagnoses. The first step is to reduce the hip fracture then assess the fracture of the femoral head and its displacement.

Occasionally stress fractures of the femoral neck require surgery – these types of fracture have a particular pattern on CT/MRI scan.

Symptoms include a dull ache deep in the general area of the thigh. This is known as the hang test. Stress fractures may sometimes mimic malignant or infectious lesions and are easily misdiagnosed. c. The type V fractures can be further subclassified according to the location of the femoral head or neck fracture. Stress fractures are far more common in the lower limb (~95%) than the upper limb 5. A weight is then applied downwards onto the thigh. Femoral head fracture: Femoral head stress fractures are a common cause of hip pain in select populations.