A hip fracture is a break in the upper part of the thighbone (femur) where the thighbone joins the pelvis to form the hip joint. Most hip fractures occur in the area just below the ball of the femur (femoral neck region) and the area just below this (intertrochanteric region).
A hip fracture almost always completely breaks the bone. A partial break in the bone (hairline fracture) may occur but is not as common and may not show up on an X-ray.
In older adults, hip fractures are caused most often by a fall. Even a slight fall can sometimes cause a fracture in a weakened hipbone. Women, especially those in their late 70s and 80s, are at an increased risk for hip fractures due to osteoporosis. This condition causes the bones to become thin and brittle.
In children and young adults, hip fractures are caused most often by a sudden, severe injury, such as a vehicle accident, sports injury, or a high-impact fall.
The most effective and common treatment for a hip fracture is surgery.
After a hip fracture, you'll likely need surgery. It can take as long as a year to recover.
Some people aren't ever able to get around as well as they could before. They may need to use a walker or cane. They may need help with daily activities such as dressing and bathing. And many can no longer live on their own.
But working hard in physical therapy or a rehab program can help you get back some strength and mobility, which can help you be as independent as possible.
If your hip is broken, you will most likely:
These symptoms are most common after a fall. But if you have very thin bones from osteoporosis or another problem, you could break your hip without falling.
In rare cases, people have only thigh or knee pain. They may be able to walk.
You will most likely need surgery to fix your hip. Surgery usually works well, but your hip will probably take a long time to get better.
Surgery is done as soon as possible after a hip fracture is diagnosed, often within 24 hours. Having surgery right away may help shorten your stay in the hospital. It can also reduce pain and problems from the surgery. Sometimes surgery is delayed for 1 to 2 days so other medical problems can be treated first.
The type of surgery you have will depend on where the break is and how bad it is.
Your doctor will encourage you to take part in a rehab program that includes physical therapy and occupational therapy. This will teach you:
Taking part in a rehab program is very important because it will speed up your recovery. Rehab can also help you get back to your normal activities sooner.
There are many things you can do to prevent a hip fracture. One of the most important is to prevent osteoporosis. Bone thinning can happen to men or women. But it is more common in women.
To keep your bones strong:
You also need to be extra careful to prevent falls. Here are a few ways to make your home safer:
It can also help to:
Doctors use X-rays to diagnose a broken hip. You may need another test if your doctor thinks that you have a fracture but can't see it on an X-ray. You might have a test such as:
One of the things that puts you at risk for a hip fracture is osteoporosis. This disease makes your bones thin, brittle, and easy to break.
Both osteoporosis and hip fracture affect women more often than men. This happens because men have higher bone density than women and because of the decrease in the hormone estrogen in women after menopause. Having lower levels of estrogen speeds up bone loss and results in weakened bones. Lower levels of testosterone in men can also speed up bone loss.
Although men are also at risk for hip fracture as they age, women have lower bone density to begin with, more bone loss after middle age, and live longer than men. As a result, most hip fractures occur in women.
Some medicines are related to bone loss or to fractures. These include:
Other things that put you at risk for hip fracture include:
Most hip fractures are caused by falls. As you get older, your bones naturally lose some strength and are more likely to break, even from a minor fall. Children and young adults are more likely to break a hip because of a bike or car accident or a sports injury.
A hip fracture is a break in the upper thighbone (femur) that forms the hip joint. A pelvic fracture can happen anywhere in the pelvic bone.
Fractures of the hips and pelvis are not often seen in children unless a severe injury (such as a car crash) has occurred.
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