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Contents
  • Types of Hip Fractures
  • Causes and Risk Factors
  • Symptoms and Diagnosis
  • Treatment Options

Hip Fractures in Older Adults: What You Need to Know

Hip Fractures in Older Adults: What You Need to Know

Why It Matters

Hip fractures are serious injuries that primarily affect older adults and can have life-changing consequences. Understanding the types, causes, and treatments of hip fractures is crucial for prevention and proper care.
Contents
  • Types of Hip Fractures
  • Causes and Risk Factors
  • Symptoms and Diagnosis
  • Treatment Options

Types of Hip Fractures

There are two main types of hip fractures: intracapsular and extracapsular. Intracapsular fractures occur inside the hip joint capsule and affect the femoral neck or head. Extracapsular fractures happen outside the joint capsule and include intertrochanteric and subtrochanteric fractures. Each type has different risks and treatment approaches.

Causes and Risk Factors

Most hip fractures in older adults result from falls. Factors that increase the risk include osteoporosis (weakened bones), balance problems, certain medications, and environmental hazards. In younger people, hip fractures typically occur due to high-impact trauma like car accidents or falls from heights.
A hip fracture is a break in the upper quarter of the femur (thigh) bone. It is a serious injury particularly affecting older adults and can lead to significant morbidity.

Symptoms and Diagnosis

Common symptoms of a hip fracture include severe hip pain, inability to walk or put weight on the leg, and the injured leg appearing shorter or turned outward. Doctors diagnose hip fractures using X-rays, but sometimes MRI or CT scans are needed to detect less obvious fractures. Early diagnosis is crucial for proper treatment.

Treatment Options

Most hip fractures require surgery, with the specific approach depending on the fracture type and patient's overall health. Options include internal fixation (using screws or plates) or hip replacement surgery. In rare cases, non-surgical treatment may be appropriate for very frail patients. Physical therapy is an important part of recovery for all patients.

FAQs

How common are hip fractures?

Hip fractures affect millions worldwide, especially older adults.

Can hip fractures be prevented?

Yes, through fall prevention, exercise, and maintaining bone health.

How long does recovery take?

Recovery can take several months and varies by individual.

Are there complications from hip fractures?

Yes, including blood clots, infections, and loss of independence.

Can young people get hip fractures?

Yes, but it's less common and usually due to severe trauma.

The Bottom Line

Hip fractures are serious but treatable injuries that require prompt medical attention and comprehensive care.
Concerned about hip fracture risks? Talk to Doctronic about prevention strategies and bone health assessments.
Additional References
  1. National Institute for Health and Care Excellence. The management of hip fractures in adults, 2011. Updated 2017.
  2. Brox WT, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly. J Bone Joint Surg Am 2015; 97:1196.
  3. Mears SC. Classification and surgical approaches to hip fractures for nonsurgeons. Clin Geriatr Med 2014; 30:229.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.