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Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Neck of femur fracture classification

Introduction

Overview

Overview

There are multiple classifications available for neck of femur fracture. The most common classification systems for neck of femur fracture include Anatomical, Garden’s, Pauwel’s and AO/OTA classification.

Classification

Classification

There are multiple classifications available for neck of femur fracture. The most common classification systems for neck of femur fracture include Anatomical, Garden’s, Pauwel’s and AO/OTA classification.[1][2]

Anatomical Classification

Anatomical Classification of neck of femur fracture.Source: Case courtesy of Mikael Häggström, using image by Mariana Ruiz Villarreal (LadyofHats [CC0, via Wikimedia Commons]
  • Anatomical classification is the commonly used classification for eck of femur fracture.[3][4]
Schatzker Classification
Type I Supcapital fracture
Type II Transcervical fracture
Type III Basicervical fracture

Garden’s Classification

  • Garden’s classification of neck of femur fracture is most commonly used classification.[5]
  • It is based on anterioposterior (AP) radiographs and does not consider lateral or sagittal plane alignment.
Garden’s Classification
Type I Incomplete, valgus impacted fracture
Type II Complete, nondisplaced fracture
Type III Complete, partially displaced fracture
Type IV Complete, fully displaced fracture

Pauwel’s Classification

Pauwel’s Classification
Type I < 30 degree from horizontal
Type II 30 to 50 degree from horizontal
Type III > 50 degree from horizontal

OTA System

OTA System
A Femoral Trochanteric fractures
A1 Simple peritrochanteric
A2 Multifragmentary peritrochanteric, lateral wall incompetent (< 20.5 mm)
A3 Intertrochanteric (reverse obliquity)
B Femoral Neck fractures
B1 Subcapital
B2 Transcervical
B3 Basicervical
C Femoral Head fractures
C1 Split fracture
C2 Depression fracture
References

References

  1. ↑ Rockwood, Charles (2010). Rockwood and Green’s fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  2. ↑ Azar, Frederick (2017). Campbell’s operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
  3. ↑ Rockwood, Charles (2010). Rockwood and Green’s fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  4. ↑ Azar, Frederick (2017). Campbell’s operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
  5. ↑ Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br 1961;43-B:647-63.
  6. ↑ Pauwels F. Der Schenkelhalsbruch, ein mechanisches problem. Stuttgart: F. Enke; 1935.
  7. ↑ ME Muller, S Nazarian, P Koch. Classification AO des fractures. 1 Les os longs. Springler-Verlag, Berlin, 1987.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]