What is intracapsular hip fracture?
A femoral neck fracture is intracapsular, that is within the hip joint and beneath the fibrous joint capsule. Although other, more detailed classification systems exist, in general fractures are classified as stable and unstable. Each category has different operative management options.
What is an intracapsular neck of femur fracture?
Intracapsular neck of femur fractures (#NOF) occur within the capsule of the hip joint. The blood supply to femoral head travels in a retrograde direction via the capsule. As such, any fracture within the capsule could be likely to damage this blood supply (see below, complications)
Where does an intracapsular fracture occur?
Intracapsular hip fractures occur in the femoral neck. This area is called an intracapsular fracture because this portion of the femur is inside the joint capsule.
What type of fracture is a NOF?
Neck of femur fractures (NOF) are common injuries sustained by older patients who are both more likely to have unsteadiness of gait and reduced bone mineral density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.
What is an example of a intracapsular fracture?
An intracapsular fracture is a bone fracture located within the joint capsule. Examples of intracapsular fractures includes: In the hip: Fractures of the femoral head and femoral neck.
Can you walk on a nonunion fracture?
Will I Be Able To Walk After Surgery? Uninfected nonunions can usually be fixed in one surgical procedure and using modern fracture fixation techniques, most patients are permitted to walk soon after surgery. In some cases a nonunion may be accompanied by an infection.
What is a trochanteric fracture?
Definition. Trochanteric fracture involves the proximal femur between the cervical region and the shaft. Subtrochanteric fracture, with a fracture line running from an area within 5 cm distal to the lesser trochanter, is usually also included in the definition [6].
How do you identify Nof?
Common symptoms include pain in the hip, groin or knee, inability to weight-bear and decreased or painful mobility of the affected hip. Common clinical findings include pain on palpation, inability to perform straight leg raise, and the affected leg is visibly shortened, externally rotated and abducted..
What are intracapsular ligaments?
Ligaments are bundles of connective tissue that connect one bone to an adjacent bone. Intracapsular ligaments are located inside the articular capsule and include the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Both lie in the middle of the capsule, together forming an X-shape.
Do non-union fractures require surgery?
Most nonunions require surgery. Surgical treatment of nonunion is usually focused on three goals: Establishing a healthy vascular area of bone and soft tissue around the fracture site. This is accomplished by removal of any poorly dead bone or poorly vascularized tissue or scar from the fracture site.
Do non-union fractures heal?
After a bone breaks, modern treatment allows almost all to heal completely. In rare cases, however, a fracture does not heal, resulting in a nonunion. In other cases, the fracture takes far longer to heal than usual, which is called a delayed union.
What is the ICD 10 code for trochanteric fracture?
Unspecified trochanteric fracture of unspecified femur, initial encounter for closed fracture. S72. 109A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Where does an intracapsular neck of femur fracture occur?
Definition of an intracapsular neck of femur fracture (#NOF) Intracapsular neck of femur fractures (#NOF) occur within the capsule of the hip joint; The blood supply to femoral head travels in a retrograde direction via the capsule. As such, any fracture within the capsule could be likely to damage this blood supply (see below, complications)
Do you need arthroplasty for an intracapsular fracture?
Patients with a displaced intra-capsular fracture therefore require joint replacement (arthroplasty), rather than fixation. Intracapsular fractures can also be further classified by the Garden Classification (Table 1)
How are intracapsular fractures classified by Garden classification?
Intracapsular fractures can also be further classified by the Garden Classification (Table 1) *There is supply in the early days of life from the ligamentum arteriosum, which lies within the ligamentum teres, however this dramatically reduces in size in later life, and is of negligible importance in adults
What are the symptoms of a Displaced intra-capsular fracture?
Patients with a displaced intra-capsular fracture therefore require joint replacement (arthroplasty), rather than fixation. The leading symptom is trauma, often low-energy, which is followed by pain and an inability to weight bear. Pain is felt predominantly in the groin, thigh or, commonly in the elderly, referred to the knee.